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Organization
KISHORE THAMMINENI DENTAL ASSOCIATES DDS PC
Active
Organization
KISHORE THAMMINENI DENTAL ASSOCIATES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE BABU THAMMINENI DDS (OWNER)
(305) 942-3458
Entity
Organization
Contact information
Practice address
20876 ISHERWOOD TER APT 101, ASHBURN, VA 20147-7788
(305) 942-3458
(540) 773-3284
Mailing address
1330 AMHERST ST STE B, WINCHESTER, VA 22601-3000
(305) 942-3458
(540) 773-3284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414079
VA
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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