Individual
SWETHA SATHASIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7249 ROUTE 96, VICTOR, NY 14564-9009
(585) 450-0583
Mailing address
7249 ROUTE 96, VICTOR, NY 14564-9009
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062639
NY
Other
Enumeration date
05/29/2020
Last updated
08/19/2024
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