Individual
DR. PAVANI GEDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
(703) 444-3412
(703) 444-3409
Mailing address
46400 BENEDICT DR STE 109, STERLING, VA 20164-6605
(703) 444-3412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415868
VA
1223G0001X
General Practice Dentistry
Primary
0401415868
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2016
Last updated
01/15/2025
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