Individual
JYOTHI KONERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
(703) 953-3343
Mailing address
14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
(703) 953-3343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410786
VA
Other
Enumeration date
03/02/2011
Last updated
10/28/2011
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