# AMOGA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114797560
- **Authorized official:** DR. YAMUNA DEVI SUBRAMANIAN DMD (GENERAL DENTIST)
- **Authorized official phone:** (617) 797-2710

## Contact information

- **Practice address:** 46519 LEESBURG PIKE STE 145, STERLING, VA 20164-3577
- **Practice address phone:** (571) 496-0095
- **Practice address fax:** (346) 509-6074
- **Mailing address:** 801 SHERLIN LN, GREAT FALLS, VA 22066-1358
- **Mailing address phone:** (617) 797-2710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 07/19/2026
