Individual
DR. SUBHA C YERABOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24805 PINEBROOK RD # 316, CHANTILLY, VA 20152-4126
(703) 957-3536
Mailing address
22917 EMERALD CHASE PL, ASHBURN, VA 20148-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412774
VA
Other
Enumeration date
07/29/2009
Last updated
01/02/2019
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