Provider Demographics
NPI:1023642345
Name:BESTADENTAL LLC
Entity type:Organization
Organization Name:BESTADENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:FANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:443-763-6657
Mailing Address - Street 1:15204 OMEGA DR STE 250
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4601
Mailing Address - Country:US
Mailing Address - Phone:240-580-8818
Mailing Address - Fax:240-580-8819
Practice Address - Street 1:15204 OMEGA DR STE 250
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4601
Practice Address - Country:US
Practice Address - Phone:240-580-8818
Practice Address - Fax:240-580-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty