Individual
VIJAY RAHUL MARKONDA PATNAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2400 CUNNINGHAM DR STE 100, HAMPTON, VA 23666-6500
(973) 687-4302
Mailing address
2400 CUNNINGHAM DR STE 100, HAMPTON, VA 23666-6500
(973) 687-4302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419087
VA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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