Individual
YADAH SRINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11965 PELLICANO DR, EL PASO, TX 79936-6829
(915) 855-2337
Mailing address
11965 PELLICANO DR, EL PASO, TX 79936-6829
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
009350
CT
1223P0221X
Pediatric Dentistry
Primary
22840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236156
—
CT
05
—
181642303
—
TX
Enumeration date
04/06/2006
Last updated
05/23/2011
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