| Kanaka Sriram, D.d.s., P.c. | |
|
410 Maple Ave W Suite 2 Vienna VA 22180-4240 | |
| (703) 255-2326 | |
| Not Available |
| Full Name | Kanaka Sriram, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 Maple Ave W, Vienna, Virginia |
| Authorized Official Name and Position | Kanaka Sriram (DENTIST) |
| Authorized Official Contact | 7032552326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanaka Sriram, D.d.s., P.c. 410 Maple Ave W Suite 2 Vienna VA 22180-4240 Ph: (703) 255-2326 | Kanaka Sriram, D.d.s., P.c. 410 Maple Ave W Suite 2 Vienna VA 22180-4240 Ph: (703) 255-2326 |
| NPI Number | 1104038546 |
|---|---|
| Provider Enumeration Date | 05/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104038546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007621 (Virginia) | Primary |
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