Individual
DR. JATIN KUMAR NALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3950 FETTLER PARK DR, DUMFRIES, VA 22025-1997
(703) 221-3295
Mailing address
3950 FETTLER PARK DR, DUMFRIES, VA 22025-1997
(703) 221-3295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413455
VA
Other
Enumeration date
05/11/2011
Last updated
05/18/2015
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