| Sireesha Penumetcha, Dds Pc | |
|
4720 Elk Grove Blvd Ste 170 Elk Grove CA 95758-4185 | |
| (916) 691-9191 | |
| Not Available |
| Full Name | Sireesha Penumetcha, Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4720 Elk Grove Blvd Ste 170, Elk Grove, California |
| Authorized Official Name and Position | Sireesha Penumetcha (PRESIDENT) |
| Authorized Official Contact | 9166919191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sireesha Penumetcha, Dds Pc 4720 Elk Grove Blvd Ste 170 Elk Grove CA 95758-4185 Ph: (916) 691-9191 | Sireesha Penumetcha, Dds Pc 4720 Elk Grove Blvd Ste 170 Elk Grove CA 95758-4185 Ph: (916) 691-9191 |
| NPI Number | 1861118580 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861118580 | NPI | - | NPPES |
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