# NIRMAL BOGOLLAGAMA, DDS, PC. INC.

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

## Provider details

- **NPI number:** 1992087993
- **Authorized official:** MR. NIRMAL BOGOLLAGAMA DDS (PRESIDENT)
- **Authorized official phone:** (202) 491-7306

## Contact information

- **Practice address:** 623 GARRISONVILLE RD, STAFFORD, VA 22554-3710
- **Practice address phone:** (540) 659-6650
- **Mailing address:** 8023 LEWINSVILLE RD, MC LEAN, VA 22102-2435
- **Mailing address phone:** (202) 491-7306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410789 | VA | Yes |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 09/15/2011