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Organization
GOGINENI DENTAL
Active
Organization
GOGINENI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRISHA GOGINENI DDS (DENTIST)
(847) 899-9517
Entity
Organization
Contact information
Practice address
210 N PINE ST, NEW LENOX, IL 60451-1757
(815) 485-8252
Mailing address
1322 S PRAIRIE AVE UNIT 1001, CHICAGO, IL 60605-3074
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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