SRINIVAS RAO MYNENI VENKATASATYA

STONY BROOK, NY
NPI1639524192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NY  000063-1)
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
-- SRINIVAS RAO MYNENI VENKATASATYA DDS, PHD
108 ROCKLAND HL
STONY BROOK, NY 11794-8703
Phone number: 631-632-8739
Mailing Address
-- SRINIVAS RAO MYNENI VENKATASATYA DDS, PHD
7 PRESIDENTS DR APT 4B
PORT JEFFERSON, NY 11777-2055
Phone number:
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