# GEETHA SRINIVASAN DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285878058
- **Authorized official:** DR. GEETHA SRINIVASAN D.M.D. (MEMBER)
- **Authorized official phone:** (610) 566-5522

## Contact information

- **Practice address:** 16 E 1ST AVE, TRAPPE, PA 19426-2065
- **Practice address phone:** (610) 489-9005
- **Mailing address:** 501 CHAUMORTT DRIVE, VILLANOVA, PA 19085
- **Mailing address phone:** (610) 489-9005
- **Mailing address fax:** (610) 489-9150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036819 | PA | Yes |

## Other

- **Enumeration date:** 04/24/2009
- **Last updated:** 08/11/2015