Individual
PRAKRITI SITOULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11700 PLAZA AMERICA DR STE 100, RESTON, VA 20190-4761
(571) 222-4900
Mailing address
2183 MONAGHAN DR, HERNDON, VA 20170-4330
(703) 350-3899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419030
VA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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