| NPI | 1548598717 |
|---|---|
| Former Name | SRIDEVI RAJENDRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14827) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413045) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2019-08-05 |