Individual
DR. DAYA SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1090 SHINGLE CREEK CROSSING, BROOKLYN CENTER, MN 55430
(651) 583-7256
Mailing address
1090 SHINGLE CREEK CROSSING, BROOKLYN CENTER, MN 55430
(651) 583-7256
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7174-15
WI
122300000X
Dentist
Primary
D13465
MN
1223G0001X
General Practice Dentistry
62134
CA
Other
Enumeration date
03/20/2013
Last updated
03/27/2015
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