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Individual

DR. DIPTI SRIVASTAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS , MDS

Contact information

Practice address
130 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-3680
(253) 833-9581
Mailing address
16416 NE 40TH ST, REDMOND, WA 98052-5459
(425) 702-9474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60034827
WA

Other

Enumeration date
08/12/2008
Last updated
08/19/2016
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