# KONERU DDS &ASSOCIATES,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NOVA FAMILY DENTIST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649555673
- **Authorized official:** DR. JYOTHI KONERU DDS (PRESIENT&CEO)
- **Authorized official phone:** (703) 953-3343

## Contact information

- **Practice address:** 14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
- **Practice address phone:** (703) 953-3343
- **Practice address fax:** (703) 956-6974
- **Mailing address:** 14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
- **Mailing address phone:** (703) 953-3343
- **Mailing address fax:** (703) 956-6974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410786 | VA | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 10/21/2011