Organization
BAWA PLLC
Active
Other names
First dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANOOP S BAWA DMD (DENTIST)
(571) 344-3397
Entity
Organization
Contact information
Practice address
8567 SUDLEY RD STE A, MANASSAS, VA 20110-3865
(571) 344-3397
Mailing address
8567 SUDLEY RD STE A, MANASSAS, VA 20110-3865
(571) 344-3397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412382
VA
122300000X
Dentist
0401412401
VA
1223G0001X
General Practice Dentistry
46686
CA
1223G0001X
General Practice Dentistry
Primary
50846
CA
Other
Enumeration date
05/21/2007
Last updated
12/27/2010
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