Individual
DR. VIVEK DOPPALAPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS DMSC
Contact information
Practice address
102 ELDEN ST, STE 19, HERNDON, VA 20170-4868
(703) 464-0900
(703) 481-1742
Mailing address
102 ELDEN ST, STE 19, HERNDON, VA 20170-4868
(703) 464-0900
(703) 481-1742
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008958
VA
1223P0300X
Periodontics
5855
DC
Other
Enumeration date
08/22/2006
Last updated
05/27/2014
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