Individual
AMBIKA RANI SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
1825 MCFARLAND BLVD N STE D, TUSCALOOSA, AL 35406-2236
(205) 758-3341
Mailing address
1825 MCFARLAND BLVD N STE D, TUSCALOOSA, AL 35406-2236
(205) 758-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D0007097-C1
AL
1223G0001X
General Practice Dentistry
163917
AK
1223G0001X
General Practice Dentistry
4144-20
MS
1223G0001X
General Practice Dentistry
Primary
D0007097-C1
AL
Other
Enumeration date
07/21/2020
Last updated
05/03/2024
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