Individual
KAPIL KOTADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8056 ROLLING RD, SPRINGFIELD, VA 22153-2928
(571) 295-5683
Mailing address
43302 HEATHER LEIGH CT, ASHBURN, VA 20147-3157
(703) 727-8293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417880
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
05/09/2022
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