| Yelamanchi Dental Plc | |
|
13817 Jefferson Park Dr Apt 4212 Herndon VA 20171-4789 | |
| (650) 245-3047 | |
| Not Available |
| Full Name | Yelamanchi Dental Plc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 13817 Jefferson Park Dr, Herndon, Virginia |
| Authorized Official Name and Position | Chetan Yelamanchi (CEO) |
| Authorized Official Contact | 6502453047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yelamanchi Dental Plc 13817 Jefferson Park Dr Apt 4212 Herndon VA 20171-4789 Ph: (650) 245-3047 | Yelamanchi Dental Plc 13817 Jefferson Park Dr Apt 4212 Herndon VA 20171-4789 Ph: (650) 245-3047 |
| NPI Number | 1992134050 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992134050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401414230 (Virginia) | Primary |
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