# YELAMANCHI DENTAL PLC

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

## Provider details

- **NPI number:** 1992134050
- **Authorized official:** CHETAN YELAMANCHI DDS (CEO)
- **Authorized official phone:** (650) 245-3047

## Contact information

- **Practice address:** 13817 JEFFERSON PARK DR, APT 4212, HERNDON, VA 20171-4789
- **Practice address phone:** (650) 245-3047
- **Mailing address:** 13817 JEFFERSON PARK DR, APT 4212, HERNDON, VA 20171-4789
- **Mailing address phone:** (650) 245-3047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401414230 | VA | Yes |

## Other

- **Enumeration date:** 11/08/2013
- **Last updated:** 11/08/2013