Individual
SIRISHA DOMMARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14401 E BAYAUD AVE UNIT H, AURORA, CO 80012-1416
(630) 835-5291
Mailing address
1234 N CLARKSON ST APT 202, DENVER, CO 80218-1845
(630) 835-5291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204063
CO
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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