Modem, Srismitha

Modem, Srismitha is an individual health care provider with primary practice located at 339 Squire Rd Suite 150, Revere MA 02151-4309. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Modem, Srismitha can be contacted via phone (781) 286-7510.

Contact Information

Primary practice address
339 Squire Rd Suite 150 Revere MA 02151-4309
Phone: (781) 286-7510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21334 Massachusetts

Profile Details

NPI number 1295892297
LBN Legal business name Modem, Srismitha
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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