JESSICA SATHISSARAT

Dentist - Periodontics

Active Individual
NPI: 1427357904

Practice Address

88 MDG/SGHJ
4881 SUGAR MAPLE DR. BLDG 830
Wright-patterson Afb, OH 45433

Phone: (937) 257-0500

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist - Periodontics 1223P0300X Yes 019.028641 (IL)

Frequently Asked Questions

NPI 1427357904 is the National Provider Identifier for JESSICA SATHISSARAT, a Dentist - Periodontics provider located in Wright-patterson Afb, OH. This NPI was enumerated on March 23, 2011.
JESSICA SATHISSARAT practices at 88 MDG/SGHJ, 4881 SUGAR MAPLE DR. BLDG 830, Wright-patterson Afb, OH 45433.

Quick Facts

NPI
1427357904
Type
Individual
Enumerated
Mar 23, 2011
Last Updated
Jul 6, 2023

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