<Unavail>

LBN: Put6395 Pllc
<Unavail> is an health care organization with primary practice located at 12005 Sunrise Valley Dr Ste 130 , Reston VA 20191-3468. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Put6395 Pllc can be contacted via phone (571) 249-2839, or through Laohakanjanasiri, Punyawat via phone (571) 446-3554.

Contact Information

Primary practice address
12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3468
Phone: (571) 249-2839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Laohakanjanasiri, Punyawat Doctor of Dental Medicine (DMD)
Phone: (571) 446-3554

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1275287112
LBN Legal business name Put6395 Pllc
DBA Doing business as <Unavail>
Authorized official Laohakanjanasiri, Punyawat Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2022
Last updated Apr 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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