NPI 1003197955

Bbf Dental PLLC

Organisation Dental Clinic/Center Fairfax, VA

Practice location

Address: 12011 Lee Jackson Hwy Suite 105, Fairfax, VA 22033-3310
Phone: (703) 273-5354
Fax: (703) 273-8149
Mailing address: 12701 Fair Lakes Cir Suite 500, Fairfax, VA 22033-4910

Authorised official

Name: Stan Kinder
Title: Regional Vice President
Phone: (703) 298-1690

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 401005817 (VA)

Other Clinic/Center providers in Virginia →

Registry record

NPI: 1003197955
Entity type: Organization
NPI issued: 6 Sep 2011
Record last updated: 6 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.