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1659705192
SRINIKETH SRINIVASA
JERSEY CITY, NJ
NPI
1659705192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ DI02549700)
Enumeration Date
2013-08-31
Last Update Date
2017-03-16
Business Address
Dr. SRINIKETH SRINIVASA DMD
22 GLENWOOD AVE
JERSEY CITY, NJ 07306-4631
Phone number: 201-333-0883
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Mailing Address
Dr. SRINIKETH SRINIVASA DMD
144 E MIDLAND AVE
PARAMUS, NJ 07652-4116
Phone number: 201-634-1476
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