Dr.padmaja Yalamanchili DDS PC

NPI #1174873764 in Fairfax, Virginia

Provider Information

NPI Number: 1174873764
Entity Type: Organization
Organization Name: Dr.padmaja Yalamanchili DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 10875 MAIN ST
Address 2: SUITE #103
City: Fairfax
State: Virginia
ZIP Code: 22030-4732
Phone: (703) 591-4010

Authorized Official

Name: DR. PADMAJA YALAMANCHILI
Title: PRESIDENT
Phone: (703) 386-6269

Specialties & Taxonomy Codes

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

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