| NPI | 1063621886 |
|---|---|
| Former Legal Business Name | FIRST DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANOOP S BAWA Dentist 571-344-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50846) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412382) |
| 122300000X Dentist (Licence: VA 0401412401) | |
| 1223G0001X Dentist, General Practice (Licence: CA 46686) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-12-27 |