Individual
NEVATHA MATHIALAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2155 CHAMPLAIN ST NW, WASHINGTON, DC 20009-2795
(202) 540-9857
(202) 232-8494
Mailing address
4 ATLANTIC ST SW, WASHINGTON, DC 20032-2350
(202) 470-3080
(202) 232-8494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13248
CT
122300000X
Dentist
Primary
DEN2000473
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087395363
—
DC
Enumeration date
11/17/2021
Last updated
06/17/2026
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