Healthcare Provider Details

I. General information

NPI: 1184507931
Provider Name (Legal Business Name): KUHANEESHA PRANITA RAMANAN-BELAL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S 348TH ST STE K2-102
FEDERAL WAY WA
98003-8374
US

IV. Provider business mailing address

1507 S 348TH ST SUITE K2-102
OLYMPIA WA
98330
US

V. Phone/Fax

Practice location:
  • Phone: 925-452-7234
  • Fax:
Mailing address:
  • Phone: 925-452-7234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDDS111213
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDE61547965
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: