DATTATHRI B MALYAVANTHAM

STERLING, VA
NPI1811902224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: VA  00401410653)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
DR. DATTATHRI B MALYAVANTHAM DDS
21475 RIDGETOP CIR SUITE 230
STERLING, VA 20166-6580
Phone number: 703-444-9900
Mailing Address
DR. DATTATHRI B MALYAVANTHAM DDS
21475 RIDGETOP CIR SUITE 230
STERLING, VA 20166-6580
Phone number: 703-444-9900
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