Organization
SVK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DESANEEDI DMD (PRESIDENT)
(740) 215-8549
Entity
Organization
Contact information
Practice address
1225 LIBERTY ST, UNIT 3, SPRINGFIELD, MA 01104-1165
(413) 788-0000
Mailing address
1401 ROCK WOOD DR, SAUGUS, MA 01906-4537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22184
MA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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