Search › Virginia › 122300000X
Nirmal Bogollagama, DDS
NPI 1407183478 · on the registry since 2009
Practice
- Address
- 10751 Ambassador Dr # 101
Manassas, VA 20109 - Phone
- (703) 369-6969
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia