Organization
DIPTI SRIVASTAVA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI SRIVASTAVA (DENTIST)
(425) 369-9116
Entity
Organization
Contact information
Practice address
22619 SE 64TH PL STE 210, ISSAQUAH, WA 98027-5342
(425) 369-9116
(425) 369-8997
Mailing address
22619 SE 64TH PL STE 210, ISSAQUAH, WA 98027-5342
(425) 369-9116
(425) 369-8997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60034827
WA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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