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:
Health care specialties
| Specialty | Code | License # | 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 11 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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