SIRISHA GOGINENI

MAHOMET, IL
NPI1194009142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019029242)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: WI  6795)
Enumeration Date2011-10-07
Last Update Date2025-08-30
Business Address
SIRISHA GOGINENI DDS
1704 PATTON DR STE 1
MAHOMET, IL 61853-8137
Phone number: 715-359-6060
Mailing Address
SIRISHA GOGINENI DDS
281 SANDERS CREEK PKWY
EAST SYRACUSE, NY 13057-1307
Phone number: 315-454-6000