| Vivek Doppalapudi Dds Ms Pc | |
|
102 Elden St Ste 19 Herndon VA 20170-4868 | |
| (703) 464-0900 | |
| (703) 481-1742 |
| Full Name | Vivek Doppalapudi Dds Ms Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 102 Elden St, Herndon, Virginia |
| Authorized Official Name and Position | Vivek Doppalapudi (PERIODONTIST / PRESIDENT) |
| Authorized Official Contact | 7034640900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivek Doppalapudi Dds Ms Pc 102 Elden St Ste 19 Herndon VA 20170-4868 Ph: (703) 464-0900 | Vivek Doppalapudi Dds Ms Pc 102 Elden St Ste 19 Herndon VA 20170-4868 Ph: (703) 464-0900 |
| NPI Number | 1518159441 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518159441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 0401008958 (Virginia) | Primary |
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