| Dr. Jaklin Bezik & Associates | |
|
11150 Fairfax Bulvard #301 Fairfax VA 22030 | |
| (703) 934-4474 | |
| Not Available |
| Full Name | Dr. Jaklin Bezik & Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11150 Fairfax Bulvard #301, Fairfax, Virginia |
| Authorized Official Name and Position | Jaklin Bezik (PRESIDENT) |
| Authorized Official Contact | 7039344474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jaklin Bezik & Associates 11150 Fairfax Blvard #301 Fairfax VA 22030 Ph: (703) 934-4474 | Dr. Jaklin Bezik & Associates 11150 Fairfax Bulvard #301 Fairfax VA 22030 Ph: (703) 934-4474 |
| NPI Number | 1780997288 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780997288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 0401410580 (Virginia) | Primary |
| 1223P0300X | Dentist - Periodontics | DEN1000297 (District Of Columbia) | Secondary |
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