Individual
DR. KOWSHIK R VADDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
8353 GREENSBORO DR, SUITE A & B, MC LEAN, VA 22102-3530
(774) 212-3828
Mailing address
13080 ROSE PETAL CIR, HERNDON, VA 20171-4825
(774) 212-3828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414337
VA
122300000X
Dentist
6215-015
WI
Other
Enumeration date
06/03/2007
Last updated
08/11/2015
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