Kishore Thammineni Dental Associates DDS PC

NPI #1972996114 in Ashburn, Virginia

Provider Information

NPI Number: 1972996114
Entity Type: Organization
Organization Name: Kishore Thammineni Dental Associates DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 12, 2015
Last Updated: Mar 12, 2015

Practice Location

Address: 20876 ISHERWOOD TER APT 101
City: Ashburn
State: Virginia
ZIP Code: 20147-7788
Phone: (305) 942-3458

Authorized Official

Name: DR. KISHORE BABU THAMMINENI, DDS
Title: OWNER
Phone: (305) 942-3458

Specialties & Taxonomy Codes

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

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