Individual
DR. JAYASRI SRINIVASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
655 237TH PL SE, SAMMAMISH, WA 98074-3632
(678) 471-3028
Mailing address
655 237TH PL SE, SAMMAMISH, WA 98074-3632
(678) 471-3028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012404
GA
122300000X
Dentist
DE60521366
GA
Other
Enumeration date
10/03/2006
Last updated
03/22/2016
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