Organization
PREMIER DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD BAKHTYARI (OWNER)
(703) 860-8860
Entity
Organization
Contact information
Practice address
2579 JOHN MILTON DR STE 250, OAK HILL, VA 20171-2500
(703) 860-8860
Mailing address
2579 JOHN MILTON DR STE 250, OAK HILL, VA 20171-2500
(703) 860-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411993
VA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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