| NPI | 1518159441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK DOPPALAPUDI Periodontist / President 703-464-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 0401008958) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |