DR. Mahathi Nanduri, DDS

NPI #1104053487 in Herndon, Virginia

Provider Information

NPI Number: 1104053487
Entity Type: Individual
Name: DR. Mahathi Nanduri, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 15, 2009
Last Updated: Mar 3, 2011

Practice Location

Address: 12832 WILLIAMS MEADOW CT
City: Herndon
State: Virginia
ZIP Code: 20171-4759
Phone: (571) 296-8047

Specialties & Taxonomy Codes

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

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