Individual
SRIVALLI SANKARANARAYANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1122 9TH ST STE 101, GREELEY, CO 80631-6413
(970) 412-2098
Mailing address
1122 9TH ST STE 101, GREELEY, CO 80631-6413
(970) 412-2098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-9344
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13224743
—
CO
Enumeration date
02/07/2007
Last updated
12/10/2012
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