Organization
JAYASHREE SRINIVASAN DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYASHREE SRINIVASAN DMD (OWNER)
(334) 524-2738
Entity
Organization
Contact information
Practice address
2331 PANSY ST SW, HUNTSVILLE, AL 35801-3804
(256) 533-7700
Mailing address
2331 PANSY STREET, HUNTSVILLE, AL 35801-3804
(256) 533-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6088
AL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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