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Organization
VIVEK DOPPALAPUDI DDS MS PC
Active
Organization
VIVEK DOPPALAPUDI DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVEK DOPPALAPUDI DDS MS DMSC (PERIODONTIST / PRESIDENT)
(703) 464-0900
Entity
Organization
Contact information
Practice address
102 ELDEN ST, STE 19, HERNDON, VA 20170-4868
(703) 464-0900
(703) 481-1742
Mailing address
102 ELDEN ST, STE 19, HERNDON, VA 20170-4868
(703) 464-0900
(703) 481-1742
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008958
VA
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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