Individual
DR. PARTHASARATHY MADURANTAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4440 SPRINGFIELD RD, SUITE # 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 217-9822
Mailing address
4440 SPRINGFIELD RD, SUITE # 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 217-9822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413643
VA
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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