| NPI | 1497210546 |
|---|---|
| Other Name | SIRISHA GOVINDAIAH DDS, PLLC |
| Entity Type | Organization |
| Authorized Contact | SIRISHA GOVINDAIAH Dentist/President 217-666-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |