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Organization
SP FAMILY DENTISTRY PA
Active
Organization
SP FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIREESHA PERUMALLA DMD (GENERAL DENTIST)
(785) 272-9443
Entity
Organization
Contact information
Practice address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 272-9071
Mailing address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 272-9071
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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