Individual
SRINIVAS DESANEEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 E MAIN ST, NORTON, MA 02766-2310
(508) 285-7763
(508) 286-9330
Mailing address
37 MEADOW LN, APT 2, BRIDGEWATER, MA 02324-8137
(740) 215-8549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22184
MA
Other
Enumeration date
07/05/2008
Last updated
05/14/2019
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