# PUT6395 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prompt Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275287112
- **Authorized official:** DR. PUNYAWAT LAOHAKANJANASIRI DMD (PRACTICE OWNER)
- **Authorized official phone:** (571) 446-3554

## Contact information

- **Practice address:** 12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3468
- **Practice address phone:** (571) 249-2839
- **Mailing address:** 12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3534
- **Mailing address phone:** (571) 446-3554
- **Mailing address fax:** (571) 464-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 04/29/2024