Individual
DR. ROHINI B BANAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
(703) 543-8112
(703) 825-1644
Mailing address
5742 PICKWICK RD, CENTREVILLE, VA 20121-4730
(703) 543-8112
(703) 825-1644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412548
VA
Other
Enumeration date
09/09/2009
Last updated
05/27/2021
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