Individual
DR. DIVYA R SANKEPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 PINE ST SE STE 100, VIENNA, VA 22180-4861
(703) 938-1415
(703) 255-0295
Mailing address
410 PINE ST SE STE 100, VIENNA, VA 22180-4861
(703) 938-1415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413165
VA
Other
Enumeration date
07/26/2011
Last updated
09/22/2020
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