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NISHA VASU SRIDHARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2429 ELLSWORTH RD, YPSILANTI, MI 48197-4853
(734) 434-0043
Mailing address
23978 ARGYLE ST, NOVI, MI 48374-4314
(248) 982-2476

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600602
MI

Other

Enumeration date
08/19/2020
Last updated
09/01/2020
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