Individual
VIDYA JANARDHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15187 MONTANUS DR, CULPEPER, VA 22701-1679
(540) 736-7083
Mailing address
3978,ROYAL LYTHAM DRIVE, FAIRFAX, VA 22203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412861
VA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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