Individual
DR. DEEPAK SONU KAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9001 DIGGES RD, SUITE 202, MANASSAS, VA 20110-4421
(703) 368-1169
(703) 361-2888
Mailing address
9001 DIGGES RD, SUITE 202, MANASSAS, VA 20110-4421
(703) 368-1169
(703) 361-2888
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410573
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1651882
UNITED CONCORDIA
—
01
—
198058
ANTHEM
—
01
—
9179582
DORAL
—
Enumeration date
09/07/2006
Last updated
07/08/2007
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