Individual
DR. SRINIKETH SRINIVASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22 GLENWOOD AVE, JERSEY CITY, NJ 07306-4631
(201) 333-0883
(201) 333-3225
Mailing address
144 E MIDLAND AVE, PARAMUS, NJ 07652-4116
(201) 634-1476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02549700
NJ
Other
Enumeration date
08/31/2013
Last updated
03/16/2017
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