Search › Pennsylvania › 122300000X
Srivalli Sista, DMD
NPI 1053629543 · on the registry since 2010
Practice
- Address
- 2107 B Cottman Avenue
Philadelphia, PA 19149 - Phone
- (215) 235-4060
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania