Individual
DR. VENKATA SIVA REDDY GUVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS,PROSTHODONTICS
Contact information
Practice address
3306 EMERALD LN, JEFFERSON CITY, MO 65109-6880
(573) 634-2222
Mailing address
3625 BRIARMONT AVE APT 101, COLUMBIA, MO 65201-3680
(419) 819-7450
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2020036528
MO
Other
Enumeration date
07/13/2019
Last updated
02/04/2022
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