DR. Eliane Fossatti Goncalves, DDS
NPI #1588272140 in Springfield, Illinois
Provider Information
- NPI Number
- 1588272140
- Entity Type
- Individual
- Name
- DR. Eliane Fossatti Goncalves, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 20, 2020
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- 802 N 9TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-6309
- Phone
- (217) 679-2896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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