Individual
DR. SIRISHA BHAMIDIPATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1533 GROVE ST, MARYSVILLE, WA 98270-4325
(360) 654-6464
Mailing address
1533 GROVE ST, MARYSVILLE, WA 98270-4325
(360) 654-6464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60305522
WA
Other
Enumeration date
08/30/2012
Last updated
12/15/2023
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