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Organization
PRIYANKA DENTAL P.C
Active
Organization
PRIYANKA DENTAL P.C
Active
Other names
Pearl Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SPANDANA GOLLA (OFFICE MANAGER)
(540) 841-8999
Entity
Organization
Contact information
Practice address
754 WARRENTON RD, SUITE 103, FREDERICKSBURG, VA 22406-1098
(540) 370-8504
Mailing address
754 WARRENTON RD, SUITE 103, FREDERICKSBURG, VA 22406-1098
(540) 370-8504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411038
VA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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