NPI 1003062845

Dipti Srivastava, DDSMDS

Practitioner Dentist Auburn, WA

Practice location

Address: 130 3rd St NE, Auburn, WA 98002-4013
Phone: (253) 833-3680
Fax: (253) 833-9581
Mailing address: 16416 NE 40th St, Redmond, WA 98052-5459

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE60034827 (WA)

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Registry record

NPI: 1003062845
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2008
Record last updated: 19 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.