Individual
DR. DUSHYANTHAN NITHIYANANTHASOTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25 NORTHRIDGE LN, LEXINGTON, VA 24450-3399
(540) 464-8700
Mailing address
95 WILLOW SPRINGS RD APT A21, LEXINGTON, VA 24450-2902
(347) 493-6494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418045
VA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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