Individual
PRAVEENA PETLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46175 WESTLAKE DR STE 220, STERLING, VA 20165-5884
(703) 404-9111
(571) 313-0501
Mailing address
46175 WESTLAKE DR STE 220, STERLING, VA 20165-5884
(703) 404-9111
(571) 313-0501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412337
VA
Other
Enumeration date
03/24/2011
Last updated
07/12/2019
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