Organization
GREENWAY SMILES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEPREETHI GNANASUNDARAM D.D.S. (DENTIST)
(571) 222-4243
Entity
Organization
Contact information
Practice address
43490 YUKON DR, STE. 114, ASHBURN, VA 20147-6990
(571) 222-4243
(571) 248-7400
Mailing address
43490 YUKON DR, STE. 114, ASHBURN, VA 20147-6990
(571) 222-4243
(571) 248-7400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412993
VA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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