OrganizationActive
Dr. Jaklin Bezik & Associates
NPI 1780997288 · Periodontics · Fairfax, VA
Provider details
- NPI number
- 1780997288
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jaklin Bezik, President(703) 934-4474
- License
- DEN1000297 (DC)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
11150 Fairfax Bulvard #301
Fairfax, VA 22030
Phone: (703) 934-4474
Approximate (ZIP-level) locationGet directions
Mailing address
11150 Fairfax Blvard #301
Fairfax, VA 22030
Registry dates
- Enumerated
- 2010-07-26
- Last updated
- 2010-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.