Organization
KONERU DDS &ASSOCIATES,INC
Active
Other names
NOVA FAMILY DENTIST
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTHI KONERU DDS (PRESIENT&CEO)
(703) 953-3343
Entity
Organization
Contact information
Practice address
14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
(703) 953-3343
(703) 956-6974
Mailing address
14165 ROBERT PARIS CT STE A, CHANTILLY, VA 20151-4243
(703) 953-3343
(703) 956-6974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410786
VA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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