Individual
NIYATHI SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
300 WILLOWBROOK LN STE 300, WEST CHESTER, PA 19382-5594
(732) 470-4833
Mailing address
1547 WILLIAMS RD, ABINGTON, PA 19001-1908
(732) 470-4833
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS043156
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/27/2021
Last updated
12/01/2023
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