| Pure Dental Llc | |
|
11864 Sunrise Valley Dr Ste 100 Reston VA 20191-3311 | |
| (571) 236-6699 | |
| Not Available |
| Full Name | Pure Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11864 Sunrise Valley Dr Ste 100, Reston, Virginia |
| Authorized Official Name and Position | Jae-woo Jung (OWNER DOCTOR) |
| Authorized Official Contact | 5712366699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Dental Llc 4631 Hummingbird Ln Fairfax VA 22033-3745 Ph: () - | Pure Dental Llc 11864 Sunrise Valley Dr Ste 100 Reston VA 20191-3311 Ph: (571) 236-6699 |
| NPI Number | 1487436556 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487436556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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