Individual
DR. THEOFANIY J BATISTAS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7521 VIRGINIA OAKS DR STE 230, GAINESVILLE, VA 20155-3831
(703) 754-7151
(703) 754-1784
Mailing address
7982 VALDERRAMA CT, GAINESVILLE, VA 20155-2825
(703) 754-9335
(703) 754-1784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007652
VA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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