Individual
DR. JAKLIN BEZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.D.S.,
Contact information
Practice address
11150 FAIRFAX BLVD, 301, FAIRFAX, VA 22030-5066
(703) 934-4474
(703) 934-4705
Mailing address
7073 IDYLWOOD RD, FALLS CHURCH, VA 22043-1527
(703) 448-3760
(703) 448-3760
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401410580
VA
1223P0300X
Periodontics
DEN1000297
DC
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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