Individual
MAHESH YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12701 GALVESTON CT, MANASSAS, VA 20112-8674
(973) 926-7642
Mailing address
7917 GLENBARR CT, FAIRFAX STATION, VA 22039-3167
(703) 593-6456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416855
VA
Other
Enumeration date
04/16/2019
Last updated
08/06/2020
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