Nirmal Bogollagama, Dds, Pc. Inc.

NPI #1992087993 in Stafford, Virginia

Provider Information

NPI Number: 1992087993
Entity Type: Organization
Organization Name: Nirmal Bogollagama, Dds, Pc. Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 623 GARRISONVILLE RD
City: Stafford
State: Virginia
ZIP Code: 22554-3710
Phone: (540) 659-6650

Authorized Official

Name: MR. NIRMAL BOGOLLAGAMA, DDS
Title: PRESIDENT
Phone: (202) 491-7306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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