All Medicaid billing entities listing THAMMASITHIBOON, PRASITH (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $340.44 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOON DENTAL ALLIANCE P.A. | FORT STOCKTON, TX | Prosthodontist | $340.44 |