Individual
DR. KISHORE BABU THAMMINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3479 N BEAUREGARD ST, ALEXANDRIA, VA 22302-1341
(571) 814-3389
(571) 814-3390
Mailing address
3479 N BEAUREGARD ST, ALEXANDRIA, VA 22302-1341
(571) 814-3389
(571) 814-3390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414079
VA
Other
Enumeration date
08/03/2011
Last updated
08/30/2024
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