Organization
PRAVEENA PETLURI DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEENA PETLURI (OWNER)
(703) 404-9111
Entity
Organization
Contact information
Practice address
46175 WESTLAKE DR STE 220, STERLING, VA 20165-5884
(703) 404-9111
Mailing address
46175 WESTLAKE DR STE 220, STERLING, VA 20165-5884
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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