Individual
DR. SANGEETHA K BHASAVRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6428 GEORGIA AVE NW, WASHINGTON, DC 20012-2910
(312) 274-4520
Mailing address
13209 ASHNUT LN, HERNDON, VA 20171-4308
(703) 953-1652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001397
DC
Other
Enumeration date
02/07/2013
Last updated
11/18/2019
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