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Search › Illinois › 1223G0001X

Eliane Fossatti Goncalves, DDS

NPI 1588272140 · on the registry since 2020

Practice

Address
802 N 9th St
Springfield, IL 62702
Phone
(217) 679-2896
Organisation at this address
Familia Dental Springfield Llc
Familia Dental Springfield 2 Llc
Familia Dental Springfield 3 Llc
Familia Dental Springfiedl 5 Llc
Familia Dental Springfield 4 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 821 Westwood Dr, Sedalia, MO

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois