| Kishore Thammineni Dental Associates Dds Pc | |
|
20876 Isherwood Ter Apt 101 Ashburn VA 20147-7788 | |
| (305) 942-3458 | |
| (540) 773-3284 |
| Full Name | Kishore Thammineni Dental Associates Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20876 Isherwood Ter Apt 101, Ashburn, Virginia |
| Authorized Official Name and Position | Kishore Babu Thammineni (OWNER) |
| Authorized Official Contact | 3059423458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishore Thammineni Dental Associates Dds Pc 1330 Amherst St Ste B Winchester VA 22601-3000 Ph: (305) 942-3458 | Kishore Thammineni Dental Associates Dds Pc 20876 Isherwood Ter Apt 101 Ashburn VA 20147-7788 Ph: (305) 942-3458 |
| NPI Number | 1972996114 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972996114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401414079 (Virginia) | Primary |
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