Kanaka Sriram, D.d.s., P.c.

NPI #1104038546 in Vienna, Virginia

Provider Information

NPI Number: 1104038546
Entity Type: Organization
Organization Name: Kanaka Sriram, D.d.s., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 410 MAPLE AVE W
Address 2: SUITE 2
City: Vienna
State: Virginia
ZIP Code: 22180-4240
Phone: (703) 255-2326

Authorized Official

Name: DR. KANAKA SRIRAM, D.D.S.
Title: DENTIST
Phone: (703) 255-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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