Individual
DR. MONA BHASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9844A MAIN ST, FAIRFAX, VA 22031-3908
(703) 218-4144
Mailing address
9844A MAIN ST, FAIRFAX, VA 22031-3908
(703) 218-4144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410310
VA
1223G0001X
General Practice Dentistry
12032
MD
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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