Individual
DR. SIREESHA KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 S DOBSON RD, CHANDLER, AZ 85224-5678
(480) 820-6778
(623) 344-3007
Mailing address
2849 E BOOT TRACK TRL, GILBERT, AZ 85296-0586
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D009876
AZ
390200000X
Student in an Organized Health Care Education/Training Program
9770
KY
Other
Enumeration date
05/31/2016
Last updated
12/03/2025
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