Individual
PRIYA SRIDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS, DMD
Contact information
Practice address
4122 FACTORIA BLVD SE STE 301, BELLEVUE, WA 98006-4277
(425) 401-5000
Mailing address
14027 LAKE CITY WAY NE APT E203, SEATTLE, WA 98125-3856
(646) 833-5637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60970475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60970475
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
06/13/2019
Last updated
06/13/2019
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