Individual
RAJESH BALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19415 DEERFIELD AVE, BLDG 1 SUITE 207, LANSDOWNE, VA 20176-8452
(571) 223-2434
(571) 223-2919
Mailing address
19415 DEERFIELD AVE, BLDG 1 SUITE 207, LANSDOWNE, VA 20176-8452
(571) 223-2434
(571) 223-2919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410461
VA
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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