Individual
DR. SOORYA SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 688-4047
Mailing address
5949 DUNHEATH LOOP, DUBLIN, OH 43016-7197
(508) 514-0206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3664
OH
Other
Enumeration date
06/14/2016
Last updated
06/16/2016
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