SIVA SAI KUMAR GANDHAM

MEDFORD, WI
NPI1841023249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6002016-15)
Enumeration Date2024-08-21
Last Update Date2026-08-11
Business Address
SIVA SAI KUMAR GANDHAM DDS
843 W BROADWAY AVE
MEDFORD, WI 54451-1307
Phone number: 715-785-8100
Mailing Address
SIVA SAI KUMAR GANDHAM DDS
1307 N SAINT JOSEPH AVE
MARSHFIELD, WI 54449-1340
Phone number: