# PROGRESSIVE DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073263620
- **Authorized official:** DR. ALKA MAHAJAN DMD (OWNER)
- **Authorized official phone:** (571) 282-4226

## Contact information

- **Practice address:** 8301 ARLINGTON BLVD STE T2, FAIRFAX, VA 22031-2900
- **Practice address phone:** (571) 282-4226
- **Practice address fax:** (571) 282-4781
- **Mailing address:** 8301 ARLINGTON BLVD STE T2, FAIRFAX, VA 22031-2900
- **Mailing address phone:** (571) 282-4226
- **Mailing address fax:** (571) 282-4781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2022
- **Last updated:** 03/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2265837 | BUSINESS, PROFESSIONAL, AND OCCUPATIONAL LICENSE | VA |