| Put6395 Pllc | |
|
12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3468 | |
| (571) 249-2839 | |
| Not Available |
| Full Name | Put6395 Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12005 Sunrise Valley Dr Ste 130, Reston, Virginia |
| Authorized Official Name and Position | Punyawat Laohakanjanasiri (PRACTICE OWNER) |
| Authorized Official Contact | 5712492839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Put6395 Pllc 44347 Babbling Brook Ter Apt 302 Ashburn VA 20147-5023 Ph: (571) 249-2839 | Put6395 Pllc 12005 Sunrise Valley Dr Ste 130 Reston VA 20191-3468 Ph: (571) 249-2839 |
| NPI Number | 1275287112 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275287112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Orthodontic Precision Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12359 Sunrise Valley Dr Ste 210, Reston, VA 20191 Phone: 703-391-8800 Fax: 703-391-8801 | |
Smile Reston Heights Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr Ste 200, Reston, VA 20191 Phone: 703-832-4740 | |
Nadder M Hassan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11490 Commerce Park Dr Ste 110, Reston, VA 20191 Phone: 804-912-6733 | |
Richard J. Morgan D.d.s.p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11250 Roger Bacon Dr, #13, Reston, VA 20190 Phone: 703-437-7775 Fax: 703-437-5623 | |
Reston Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1984 Isaac Newton Sq W Ste 100, Reston, VA 20190 Phone: 703-437-5555 Fax: 703-437-8584 | |
Nicholas A Muss Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11339 Sunset Hills Rd, Reston, VA 20190 Phone: 703-689-2697 Fax: 703-787-8271 | |
Reston Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11345 Sunset Hills Rd, Reston, VA 20190 Phone: 703-689-0110 Fax: 703-467-8030 |