Individual
PRIYAM KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16211 SUNSET VIEW TRL, CENTREVILLE, VA 20120-1087
(703) 973-5633
Mailing address
16211 SUNSET VIEW TRL, CENTREVILLE, VA 20120-1087
(703) 973-5633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN2000213
DC
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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