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Dr. Jaklin Bezik & Associates

Dentist, Periodontics in Fairfax, VA. Organization (NPI-2).

NPI number1780997288
StatusActive
Last updated in NPPESJul 26, 2010

Details

NPI
1780997288
Entity type
Organization (NPI-2)
Legal business name
Dr. Jaklin Bezik & Associates
Organization subpart
No
Enumeration date
Jul 26, 2010
Last updated
Jul 26, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics0401410580VAYes
1223P0300X Dentist, PeriodonticsDEN1000297DC

Practice location

11150 Fairfax Bulvard #301
Fairfax, VA 22030

Phone 703-934-4474

Mailing address

11150 Fairfax Blvard #301
Fairfax, VA 22030

Phone 703-934-4474

Authorized official

Jaklin Bezik
President
7039344474

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