# DR TIMOTHY GOLIAN DDS PC

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

## Provider details

- **NPI number:** 1841265634
- **Authorized official:** DR. TIMOTHY GOLIAN DDS PC (ENDODONTIST)
- **Authorized official phone:** (703) 273-8798

## Contact information

- **Practice address:** 11230 WAPLES MILLROAD, SUITE 150, FAIRFAX, VA 22030
- **Practice address phone:** (703) 273-8798
- **Practice address fax:** (703) 273-4212
- **Mailing address:** 11230 WAPLES MILLROAD, SUITE 150, FAIRFAX, VA 22030
- **Mailing address phone:** (703) 273-8798
- **Mailing address fax:** (703) 273-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401007887 | VA | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 08/22/2020