Provider Demographics
NPI:1659534691
Name:DILOLLI, SONIA (DDS)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:DILOLLI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ELDEN ST STE 15
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4827
Mailing Address - Country:US
Mailing Address - Phone:034-789-5747
Mailing Address - Fax:
Practice Address - Street 1:102 ELDEN ST STE 15
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4827
Practice Address - Country:US
Practice Address - Phone:703-478-9574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23836122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist