Organization
S BHATIA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJIV BHATIA DDS (PRESIDENT)
(703) 583-7720
Entity
Organization
Contact information
Practice address
2970 P W PKWY, WDBG, VA 22192
(703) 583-7720
(703) 583-7719
Mailing address
2970 PRINCE WILLIAM PKWY, WOODBRIGE, VA 22192
(703) 583-7720
(703) 583-7719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7736
VA
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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