Individual
DR. PUNYAWAT LAOHAKANJANASIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3468
(571) 446-3554
(571) 464-0198
Mailing address
12005 SUNRISE VALLEY DR STE 130, RESTON, VA 20191-3468
(571) 446-3554
(571) 464-0198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416923
VA
Other
Enumeration date
06/04/2019
Last updated
04/29/2024
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