Individual
SHASHI SARVANANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
G2432 W CARPENTER RD, FLINT, MI 48505-1983
(810) 785-7500
Mailing address
G2432 W CARPENTER RD, FLINT, MI 48505-1983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4864411
—
MI
01
—
SS018651
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/29/2007
Last updated
07/08/2007
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