Organization
USA BUNNAG, DDS.,PA
Active
Other names
Bunnag Comprehensive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USA BUNNAG DDS (PRESIDENT)
(301) 896-0633
Entity
Organization
Contact information
Practice address
6501 DEMOCRACY BLVD, BETHESDA, MD 20817-1685
(301) 896-0633
(301) 896-0633
Mailing address
6501 DEMOCRACY BLVD, BETHESDA, MD 20817-1685
(301) 896-0633
(301) 896-0633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11494
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699949200
—
MD
Enumeration date
12/09/2015
Last updated
12/09/2015
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