Individual
CHANDRIKA SRUTHI DOKKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 DULLES STATION BLVD STE B, HERNDON, VA 20171-6278
(703) 424-9555
Mailing address
180 HIGH PARK LN APT 726, SILVER SPRING, MD 20910-4173
(301) 658-4936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416725
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2018
Last updated
03/07/2023
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