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Individual

DR. SIVAKUMAR SREENIVASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MDS

Contact information

Practice address
77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
(301) 294-8700
(301) 294-9007
Mailing address
77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
(301) 294-8700
(301) 294-9007

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12242
MD

Other

Enumeration date
01/31/2007
Last updated
09/05/2024
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