Individual provider · Type 1 NPI

Jaklin Bezik, DDS, M.D.S.

Periodontics · Fairfax, VA

NPI number 1356480552 Active

Practice location

11150 Fairfax Blvd, 301
Fairfax, VA 22030-5066

Call (703) 934-4474 Map

Fax (703) 934-4705

Mailing address

7073 Idylwood Rd
Falls Church, VA 22043-1527

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401410580 (VA)
Periodontics 1223P0300XDEN1000297 (DC)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1356480552

Jaklin Bezik, DDS, M.D.S.'s National Provider Identifier is 1356480552, issued on Feb 5, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.