Organization
DEEPAK S KAKAR DDS INC
Active
Other names
tysons pediatric dentistry and orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY E STYN (OFFICE MANAGER)
(540) 786-0051
Entity
Organization
Contact information
Practice address
7115 LEESBURG PIKE, SUITE 210, FALLS CHURCH, VA 22043-2367
(703) 534-1611
Mailing address
7115 LEESBURG PIKE, SUITE 210, FALLS CHURCH, VA 22043-2367
(703) 534-1611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412252
VA
1223P0221X
Pediatric Dentistry
Primary
0401410573
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401007026
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174626717
PROVIDER NPI NUMBER
VA
01
—
155850911
NPI DR ZUKAEY AL-LABABIDI
VA
01
—
1710081195
NPI NUMBER DR RICHARD BYRD
VA
Enumeration date
09/29/2010
Last updated
09/29/2010
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