Organization
DR.PADMAJA YALAMANCHILI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMAJA YALAMANCHILI (PRESIDENT)
(703) 386-6269
Entity
Organization
Contact information
Practice address
10875 MAIN ST, SUITE #103, FAIRFAX, VA 22030-4732
(703) 591-4010
(703) 591-3672
Mailing address
10875 MAIN ST, SUITE #103, FAIRFAX, VA 22030-4732
(703) 591-4010
(703) 591-3672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411072
VA
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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