Individual
FANCY CHRISTINA KUMARARAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14346 WARWICK BLVD, NEWPORT NEWS, VA 23602-3814
(754) 755-8771
Mailing address
115 BEACH 62ND ST UNIT B, ARVERNE, NY 11692-1884
(718) 374-1224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401419614
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
07/11/2025
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