Individual
DR. SOWMYA KANUMILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
24600 MILLSTREAM DR STE 470, ALDIE, VA 20105-5686
(703) 327-9222
(703) 327-9211
Mailing address
24600 MILLSTREAM DR STE 470, ALDIE, VA 20105-5686
(703) 327-9222
(703) 327-9211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412699
VA
1223G0001X
General Practice Dentistry
DN1855182
MA
Other
Enumeration date
06/25/2009
Last updated
05/27/2020
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