Organization
PRIYANKA DENTAL P.C
Active
Other names
Pearl Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SPANDANA GOLLA (OFFICE MANAGER)
(540) 841-8999
Entity
Organization
Contact information
Practice address
754 WARRENTON RD, SUITE 103, FREDERICKSBURG, VA 22406-1098
(540) 370-8504
Mailing address
754 WARRENTON RD, SUITE 103, FREDERICKSBURG, VA 22406-1098
(540) 370-8504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411038
VA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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