| NPI | 1083196729 |
|---|---|
| Doing Business As | ORANGE GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SRIVIDYA VULUGUNDAM General Dentist 571-294-8153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-08-26 |