Bezik, Jaklin

Bezik, Jaklin is an individual health care provider with primary practice located at 11150 Fairfax Blvd 301, Fairfax VA 22030-5066. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Bezik, Jaklin can be contacted via phone (703) 934-4474.

Contact Information

Primary practice address
11150 Fairfax Blvd 301 Fairfax VA 22030-5066
Phone: (703) 934-4474
Fax: (703) 934-4705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0401410580 Virginia
Dental Providers / Periodontics 1223P0300X DEN1000297 District of Columbia

Profile Details

NPI number 1356480552
LBN Legal business name Bezik, Jaklin
Credentials D.D.S., M.D.S.,
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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