Individual
DR. VINAYAK PUNDLIK PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9547A FAIRFAX BLVD, FAIRFAX, VA 22031-4740
(703) 359-2879
Mailing address
659 W LEXINGTON ST, APT# 42 E, BALTIMORE, MD 21201-1555
(410) 585-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412476
VA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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