Individual
DR. SRIRAM V MYNENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
935 MAIN ST, SUITE # B2, MANCHESTER, CT 06040-6059
(860) 643-0011
Mailing address
935 MAIN ST STE B2, MANCHESTER, CT 06040-6050
(860) 643-0011
(860) 646-8548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010590
CT
Other
Enumeration date
09/25/2006
Last updated
04/02/2024
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