Sirisha Donthireddy

NPI #1114190303 in Bay Shore, New York

Provider Information

NPI Number: 1114190303
Entity Type: Individual
Name: Sirisha Donthireddy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 1745 UNION BLVD
City: Bay Shore
State: New York
ZIP Code: 11706-7952
Phone: (631) 968-5995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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