Prince William Dental LLC
NPI #1609499151 in Gainesville, Virginia
Provider Information
- NPI Number
- 1609499151
- Entity Type
- Organization
- Organization Name
- Prince William Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 19, 2020
- Last Updated
- May 19, 2020
Practice Location
- Address
- 7051 HEATHCOTE VILLAGE WAY STE 100
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155-3197
- Phone
- (848) 667-0516
Authorized Official
- Name
- DR. MADHUSUDHAN REDDY KASIPATHY, DDS
- Title
- DENTIST/ OWNER
- Phone
- (848) 667-0516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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