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1528188471
KANAKA SRIRAM
VIENNA, VA
NPI
1528188471
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Former Name
KANAKAVALLI SUBRAMANIAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401007621)
Enumeration Date
2007-03-31
Last Update Date
2007-07-08
Business Address
Dr. KANAKA SRIRAM D.D.S.
410 MAPLE AVE W STE 2
VIENNA, VA 22180-4224
Phone number: 703-255-2326
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Mailing Address
Dr. KANAKA SRIRAM D.D.S.
410 MAPLE AVE W STE 2
VIENNA, VA 22180-4224
Phone number: 703-255-2326
Copy
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