Siriravali Dental Care PC

NPI #1366827461 in Amsterdam, New York

Provider Information

NPI Number: 1366827461
Entity Type: Organization
Organization Name: Siriravali Dental Care PC
Subpart: Yes (part of a larger organization)
Parent Organization: SIRIRAVALI DENTAL CARE PC
Primary Specialty: Dentist
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 3912 STATE HIGHWAY 30
City: Amsterdam
State: New York
ZIP Code: 12010-6508
Phone: (518) 883-4505

Authorized Official

Name: DR. SREEDEVI MANDAVA
Title: GENERAL DENTIST
Phone: (518) 883-4505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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