Individual
SRAVANTHI NALLAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
392 GARRISONVILLE RD, STAFFORD, VA 22554-1500
(540) 659-6816
Mailing address
392 GARRISONVILLE RD, STAFFORD, VA 22554-1500
(540) 659-6816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411590
VA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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