Individual
DR. SHAHEDA GENE MARIE GOVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1819 EVANS ST, OSHKOSH, WI 54901-2361
(920) 231-1955
Mailing address
PO BOX 2051, OSHKOSH, WI 54903-2051
(920) 231-1955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6521-15
WI
Other
Enumeration date
06/26/2010
Last updated
08/27/2010
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