| Surya P Dhakar Dds Pc | |
|
4440 Springfield Rd #101 Glen Allen VA 23060-3410 | |
| (804) 217-9820 | |
| (804) 217-9822 |
| Full Name | Surya P Dhakar Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4440 Springfield Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Surya P Dhakar (DENTIST) |
| Authorized Official Contact | 8042179820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surya P Dhakar Dds Pc 4440 Springfield Rd #101 Glen Allen VA 23060-3410 Ph: (804) 217-9820 | Surya P Dhakar Dds Pc 4440 Springfield Rd #101 Glen Allen VA 23060-3410 Ph: (804) 217-9820 |
| NPI Number | 1922089739 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922089739 | NPI | - | NPPES |
| 2107285 | Other | MAMSI | |
| 817248 | Other | UNITED CONCORDIA | |
| 432116 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00410078 (Virginia) | Primary |
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