Organization
TOTAL DENTAL ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH BAZARJANI (DOCTOR)
(703) 890-3200
Entity
Organization
Contact information
Practice address
14631 LEE HWY STE 201, CENTREVILLE, VA 20121-5827
(703) 890-3200
Mailing address
14631 LEE HWY STE 201, CENTREVILLE, VA 20121-5827
(703) 890-3200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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