Organization
OMFS MD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVAKUMAR SREENIVASAN DMD, MDS (OWNER)
(301) 294-8700
Entity
Organization
Contact information
Practice address
77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
(301) 294-8700
(301) 294-9007
Mailing address
77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850-2331
(301) 294-8700
(301) 294-9007
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12242
MD
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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