Most Relevant Information
Provider Data
| NPI Number: | 1003062845 |
| Provider Name: | DIPTI SRIVASTAVA DDS , MDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DE60034827 |
Most Important Dates
| Enumeration Date: | 08/12/2008 |
| Last Updated: | 08/19/2016 |
Provider Practice Location
130 3RD ST NE
AUBURN
WA
980024013
Practice Location Phone/Fax
| Phone: | 2538333680 |
| Fax: | 2538339581 |
Provider Mailing Location
16416 NE 40TH ST
REDMOND
WA
980525459
Provider Mailing Phone/Fax
| Phone: | 4257029474 |
| Fax: |