| Total Dental Arts, Llc | |
|
14631 Lee Hwy Ste 201 Centreville VA 20121-5827 | |
| (703) 890-3200 | |
| Not Available |
| Full Name | Total Dental Arts, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14631 Lee Hwy Ste 201, Centreville, Virginia |
| Authorized Official Name and Position | Kourosh Bazarjani (DOCTOR) |
| Authorized Official Contact | 7038903200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Dental Arts, Llc 14631 Lee Hwy Ste 201 Centreville VA 20121-5827 Ph: (703) 890-3200 | Total Dental Arts, Llc 14631 Lee Hwy Ste 201 Centreville VA 20121-5827 Ph: (703) 890-3200 |
| NPI Number | 1457042442 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457042442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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