Organization
BBF DENTAL PLLC
Active
Other names
Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STAN KINDER (REGIONAL VICE PRESIDENT)
(703) 298-1690
Entity
Organization
Contact information
Practice address
12011 LEE JACKSON HWY, SUITE 105, FAIRFAX, VA 22033-3310
(703) 273-5354
(703) 273-8149
Mailing address
12701 FAIR LAKES CIR, SUITE 500, FAIRFAX, VA 22033-4910
(703) 269-3150
(703) 449-9865
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
401005817
VA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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