Individual
SIRISHA GOVINDAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1080 FM 3009, SCHERTZ, TX 78154-2726
(210) 659-7884
Mailing address
1080 FM 3009, SCHERTZ, TX 78154-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028467
IL
1223P0221X
Pediatric Dentistry
Primary
30238
TX
Other
Enumeration date
10/25/2010
Last updated
07/28/2014
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