Provider Demographics
NPI:1659912509
Name:TEMBURNI PLLC
Entity Type:Organization
Organization Name:TEMBURNI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMARJEET
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMBURNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-975-0046
Mailing Address - Street 1:305 MAPLE AVE W STE E
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4306
Mailing Address - Country:US
Mailing Address - Phone:703-865-8455
Mailing Address - Fax:703-865-8457
Practice Address - Street 1:305 MAPLE AVE W STE E
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4306
Practice Address - Country:US
Practice Address - Phone:703-865-8455
Practice Address - Fax:703-865-8457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty