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Dattathri Malyavantham, DDS
NPI 1811902224 · on the registry since 2006 · sole proprietor
Practice
- Address
- 21475 Ridgetop Cir
Suite 230
Sterling, VA 20166 - Phone
- (703) 444-9900
- Organisation at this address
- Sterling Endo Pllc
Mitnick & Herbst, Pc
Nova Iv Therapy, Llc
Prime Vascular Care Llc
Smile Mission Sterling PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia