Individual
FAWZIA BHAVNAGRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
601 ROANOKE ST, CHRISTIANSBURG, VA 24073-3142
(540) 382-0201
Mailing address
400 SALEM AVE SW, UNIT 2M, ROANOKE, VA 24016-3631
(804) 513-4012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413064
VA
1223G0001X
General Practice Dentistry
Primary
0401413064
VA
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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