Individual
DR. DIVYA PARTHASARATHY SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
33080 GARFIELD RD, FRASER, MI 48026-1867
(586) 293-8750
Mailing address
44898 LAFAYETTE DR, NOVI, MI 48377-2549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600981
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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