| NPI | 1174873764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMAJA YALAMANCHILI President 703-386-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411072) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |