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Individual

DR. PRIYADARSHINI SARIDE VENKATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
530 E MCDOWELL RD, PHOENIX, AZ 85004-1549
(682) 386-2332
Mailing address
9010 S PRIEST DR APT 2142, TEMPE, AZ 85284-1087
(682) 386-2332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
009954
CT
122300000X
Dentist
056607-1
NY
122300000X
Dentist
Primary
10904
AZ

Other

Enumeration date
12/08/2008
Last updated
12/01/2020
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