Geeta Gyaneshwari Mandavilli
NPI #1811511470 in Longview, Texas
Provider Information
- NPI Number
- 1811511470
- Entity Type
- Individual
- Name
- Geeta Gyaneshwari Mandavilli
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 29, 2020
- Last Updated
- Nov 7, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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