NPI | 1124493655 |
---|---|
Doing Business As | BUNNAG COMPREHENSIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | USA BUNNAG President 301-896-0633 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11494) |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |