Individual
DR. SWAPNA SURENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8117 DUMONT DR APT 101, VIENNA, VA 22180-7200
(703) 509-2426
Mailing address
8117 DUMONT DR APT 101, VIENNA, VA 22180-7200
(703) 509-2426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401412881
VA
122300000X
Dentist
Primary
DEN1000939
DC
122300000X
Dentist
DS037896
PA
Other
Enumeration date
06/10/2009
Last updated
01/21/2011
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