Provider Demographics
NPI:1750733838
Name:KARIA, VINNY (DDS)
Entity type:Individual
Prefix:
First Name:VINNY
Middle Name:
Last Name:KARIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:VINNY
Other - Middle Name:
Other - Last Name:THAKKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2450 OLD BRICK RD APT 1434
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6000
Mailing Address - Country:US
Mailing Address - Phone:310-213-2783
Mailing Address - Fax:
Practice Address - Street 1:2450 OLD BRICK RD APT 1434
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6000
Practice Address - Country:US
Practice Address - Phone:310-213-2783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401415332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist