Archana Srinivasan Dds Pllc | |
11130 Sunrise Valley Dr Ste 120 Reston VA 20191-5474 | |
(571) 446-4060 | |
(571) 446-4066 |
Full Name | Archana Srinivasan Dds Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 11130 Sunrise Valley Dr Ste 120, Reston, Virginia |
Authorized Official Name and Position | Archana Srinivasan (OWNER DENTIST) |
Authorized Official Contact | 5714464060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Archana Srinivasan Dds Pllc 1927 Upper Lake Dr Reston VA 20191-3619 Ph: () - | Archana Srinivasan Dds Pllc 11130 Sunrise Valley Dr Ste 120 Reston VA 20191-5474 Ph: (571) 446-4060 |
NPI Number | 1558128850 |
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Provider Enumeration Date | 03/04/2024 |
Last Update Date | 03/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558128850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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