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General NPI Number Information
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NPI Number | 1700791241
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Entity Type | Individual
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Provider Name | SHREYA GOUD EDULAKANTI SRIDHAR
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | DENTAL DREAMS 3867 UNION DEPOSIT ROAD
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City | HARRISBURG
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State | PA
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Zip | 17109
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Country | US
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Telephone | 717-558-0042
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Fax | 717-558-0244
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Provider Business Mailing Address
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Address Line | 6810 CLUBHOUSE DR, APT D
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City | HARRISBURG
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State | PA
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Zip | 17111
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Country | US
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Telephone | 949-692-9498
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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