# BAWA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First dental care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063621886
- **Authorized official:** DR. ANOOP S BAWA DMD (DENTIST)
- **Authorized official phone:** (571) 344-3397

## Contact information

- **Practice address:** 8567 SUDLEY RD STE A, MANASSAS, VA 20110-3865
- **Practice address phone:** (571) 344-3397
- **Mailing address:** 8567 SUDLEY RD STE A, MANASSAS, VA 20110-3865
- **Mailing address phone:** (571) 344-3397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412382 | VA | — |
| 122300000X | Dentist | 0401412401 | VA | — |
| 1223G0001X | General Practice Dentistry | 46686 | CA | — |
| 1223G0001X | General Practice Dentistry | 50846 | CA | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 12/27/2010