Individual
SIRISHA KOVVALI RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856871
MA
Other
Enumeration date
03/29/2016
Last updated
12/11/2024
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