Individual
NISHCHAL MUKESH DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2003 WOODBROOK CT, CHARLOTTESVILLE, VA 22901-1148
(434) 975-6181
Mailing address
12515 NATHANIEL OAKS DR, HERNDON, VA 20171-1732
(703) 300-8339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417086
VA
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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