Bbf Dental Pllc

NPI 1003197955 - Clinic/Center - 261QD0000X

NPI Details
NPI 1003197955
Enumeration Date 09/06/2011
Last Updated 09/06/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STAN STAN
Position REGIONAL VICE PRESIDENT
Phone (703) 273-5354
Fax (703) 273-8149
Practice Location
12011 LEE JACKSON HWY
SUITE 105
FAIRFAX VA, 22033-3310, US
Phone (703) 273-5354
Fax (703) 273-8149
Business Location
12701 FAIR LAKES CIR
SUITE 500
FAIRFAX VA, 22033-4910, US
Phone (703) 269-3150
Fax (703) 449-9865
Toxanomy
Taxonomy Code 261QD0000X
License State Virginia
License Number 401005817
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According to our database, Bbf Dental Pllc NPI is 1003197955, taxonomy code is 261QD0000X and license number is 401005817, license state is located at Virginia. Bbf Dental Pllc physically located at 12011 Lee Jackson Hwy, Fairfax VA, 22033-3310. NPI Number 1033115704 has the healthcare provider type.

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1003197955 NPI number is provided on an as is basis without warranty of any kind. 1003197955 is maintained by the National Plan & Provider Enumeration System. The contents of Bbf Dental Pllc are for informational purposes only.