DR. Sridevi Vijayasekaran, DMD

NPI #1912116567 in Lacey, Washington

Provider Information

NPI Number: 1912116567
Entity Type: Individual
Name: DR. Sridevi Vijayasekaran, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1401 MARVIN RD NE STE 302
City: Lacey
State: Washington
ZIP Code: 98516-5710
Phone: (360) 459-8348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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