Organization
SPRINGFIELD PEDIATRIC DENTISTRY
Active
Other names
Sirisha Govindaiah DDS, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRISHA GOVINDAIAH BDS, MPH, DDS (DENTIST/PRESIDENT)
(217) 666-0098
Entity
Organization
Contact information
Practice address
1224 CENTRE WEST DR, SPRINGFIELD, IL 62704-2184
(217) 666-0098
Mailing address
10900 FOX CRST, SAN ANTONIO, TX 78233-7249
(217) 666-0098
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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