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Organization
DR. JAKLIN BEZIK & ASSOCIATES
Active
Organization
DR. JAKLIN BEZIK & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKLIN BEZIK DDS, MDS (PRESIDENT)
(703) 934-4474
Entity
Organization
Contact information
Practice address
11150 FAIRFAX BULVARD #301, FAIRFAX, VA 22030
(703) 934-4474
Mailing address
11150 FAIRFAX BLVARD #301, FAIRFAX, VA 22030
(703) 934-4474
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401410580
VA
1223P0300X
Periodontics
DEN1000297
DC
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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