Individual
DR. SREEMALI VASANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 PLEASANT ST, SUITE # 3, CONCORD, NH 03301-3831
(603) 225-4143
(603) 226-9413
Mailing address
102 PLEASANT ST, SUITE # 3, CONCORD, NH 03301-3831
(603) 225-4143
(603) 226-9413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3444
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30303629
—
NH
Enumeration date
09/29/2005
Last updated
09/17/2013
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