Organization
DENTIST IN PALM BEACH GARDENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITHA SIRIVOLU D.M.D (OWNER)
(561) 707-2594
Entity
Organization
Contact information
Practice address
3385 BURNS RD STE 206, PALM BEACH GARDENS, FL 33410-4328
(561) 795-7668
Mailing address
11903 SOUTHERN BLVD STE 116, ROYAL PALM BEACH, FL 33411-7644
(561) 795-7668
(561) 795-7884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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