Organization
SHAMIK S. VAKIL, DDS, MS, PLLC
Active
Other names
Blue Ridge Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIK SURESH VAKIL DDS (DENTIST)
(703) 430-5417
Entity
Organization
Contact information
Practice address
46175 WESTLAKE DR, SUITE 430, STERLING, VA 20165-5873
(703) 430-8215
Mailing address
46175 WESTLAKE DR STE 430, STERLING, VA 20165-5886
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412253
VA
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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