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Organization
T JAMES BATISTAS DDS PLLC
Active
Organization
T JAMES BATISTAS DDS PLLC
Active
Other names
Railroad Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOFANIY J BATISTAS DDS (DOCTOR OWNER)
(703) 365-0230
Entity
Organization
Contact information
Practice address
9110 RAILROAD DRIVE, SUITE 201, MANASSAS PARK, VA 20111
(703) 365-0230
(703) 365-0234
Mailing address
9110 RAILROAD DRIVE, SUITE 201, MANASSAS PARK, VA 20111
(703) 365-0230
(703) 365-0234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401007652
DENTAL STATE LICENSE NUM
VA
Enumeration date
05/10/2007
Last updated
07/08/2008
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