Healthcare Provider Details

I. General information

NPI: 1932531142
Provider Name (Legal Business Name): BEST DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46175 WESTLAKE DR SUITE 420
STERLING VA
20165-5873
US

IV. Provider business mailing address

46175 WESTLAKE DR SUITE 420
STERLING VA
20165-5873
US

V. Phone/Fax

Practice location:
  • Phone: 703-774-0014
  • Fax: 410-430-8215
Mailing address:
  • Phone: 703-774-0014
  • Fax: 410-430-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number0401413997
License Number StateVA

VIII. Authorized Official

Name: DR. BEN LIU
Title or Position: OWNER
Credential: D.D.S
Phone: 919-423-2520