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1811902224
DATTATHRI B MALYAVANTHAM
STERLING, VA
NPI
1811902224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 00401410653)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. DATTATHRI B MALYAVANTHAM DDS
21475 RIDGETOP CIR SUITE 230
STERLING, VA 20166-6580
Phone number: 703-444-9900
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Mailing Address
Dr. DATTATHRI B MALYAVANTHAM DDS
21475 RIDGETOP CIR SUITE 230
STERLING, VA 20166-6580
Phone number: 703-444-9900
Copy
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