Individual
DR. RENUKA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
43170 SOUTHERN WALK PLZ STE 116, BROADLANDS, VA 20148-4464
(703) 687-4320
Mailing address
3819 HILLCREST LN, ANNANDALE, VA 22003-2311
(703) 994-3638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416536
VA
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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