Organization
SURYA P. DHAKAR, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURYA P. DHAKAR D.D.S. (PRESIDENT)
(804) 217-9820
Entity
Organization
Contact information
Practice address
4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 217-9822
Mailing address
4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 217-9822
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14534
OTHER
VA
01
—
817248
OTHER
VA
Enumeration date
01/31/2008
Last updated
01/31/2008
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