Bunnag, Usa

Bunnag, Usa is an individual health care provider with primary practice located at 6501 Democracy Blvd , Bethesda MD 20817-1685. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bunnag, Usa can be contacted via phone (301) 896-0633.

Contact Information

Primary practice address
6501 Democracy Blvd Bethesda MD 20817-1685
Fax: (301) 896-0064
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X MD11494 Maryland

Profile Details

NPI number 1770573933
LBN Legal business name Bunnag, Usa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Nov 13th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770573933 NPPES
Maryland MEDICAID 699949200

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