| Amoga Dental Pllc | |
|
44790 Maynard Sq Ste 180 Ashburn VA 20147-6515 | |
| (617) 797-2710 | |
| Not Available |
| Full Name | Amoga Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44790 Maynard Sq Ste 180, Ashburn, Virginia |
| Authorized Official Name and Position | Yamuna Devi Subramanian (GENERAL DENTIST) |
| Authorized Official Contact | 6177972710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amoga Dental Pllc 801 Sherlin Ln Great Falls VA 22066-1358 Ph: (617) 797-2710 | Amoga Dental Pllc 44790 Maynard Sq Ste 180 Ashburn VA 20147-6515 Ph: (617) 797-2710 |
| NPI Number | 1114797560 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114797560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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