Individual
PRIYANKA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1073 OAK ST, PITTSTON, PA 18640-3716
(570) 655-4141
Mailing address
1008 TIVERTON RD, MECHANICSBURG, PA 17050-9159
(717) 215-3652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039997
PA
Other
Enumeration date
09/16/2013
Last updated
04/25/2017
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