Individual
DR. SIREESHA PERUMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Mailing address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029203
IL
1223G0001X
General Practice Dentistry
Primary
61308
KS
Other
Enumeration date
08/11/2012
Last updated
03/22/2024
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