| Nirmal Bogollagama, Dds, Pc. Inc. | |
|
623 Garrisonville Rd Stafford VA 22554-3710 | |
| (540) 659-6650 | |
| Not Available |
| Full Name | Nirmal Bogollagama, Dds, Pc. Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 623 Garrisonville Rd, Stafford, Virginia |
| Authorized Official Name and Position | Nirmal Bogollagama (PRESIDENT) |
| Authorized Official Contact | 2024917306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirmal Bogollagama, Dds, Pc. Inc. 8023 Lewinsville Rd Mc Lean VA 22102-2435 Ph: (202) 491-7306 | Nirmal Bogollagama, Dds, Pc. Inc. 623 Garrisonville Rd Stafford VA 22554-3710 Ph: (540) 659-6650 |
| NPI Number | 1992087993 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992087993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410789 (Virginia) | Primary |
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