# PRIYA SRIDHAR DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenmore Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609541648
- **Authorized official:** PRIYA SRIDHAR DMD (DENTIST)
- **Authorized official phone:** (425) 485-0588

## Contact information

- **Practice address:** 5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
- **Practice address phone:** (425) 485-0588
- **Mailing address:** 5723 NE BOTHELL WAY STE B, KENMORE, WA 98028-9404
- **Mailing address phone:** (425) 485-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 08/11/2021