Individual
DR. SURYA PRAKASH DHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4440 SPRINGFIELD RD, STE 101, GUN ALLEN, VA 23060
(804) 217-9820
(804) 217-9822
Mailing address
4440 SPRINGFIELD RD, STE 101, GUN ALLEN, VA 23060
(804) 217-9820
(804) 217-9822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14534
DORAL DENTAL
VA
01
—
817248
UNITED CONCORDIA
VA
Enumeration date
09/07/2006
Last updated
07/08/2007
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