Individual
POOJA VIJAY BHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 GALLOWS RD, APT 632, VIENNA, VA 22180
(703) 389-1743
Mailing address
2750 GALLOWS RD, APT 632, VIENNA, VA 22180
(703) 389-1743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401420093
VA
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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