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Organization
2ND STREET PIKE FAMILY DENTAL PC
Active
Organization
2ND STREET PIKE FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJASHEKAR K REDDY DMD (OWNER)
(215) 364-1488
Entity
Organization
Contact information
Practice address
730 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3961
(215) 364-1488
(215) 364-1020
Mailing address
730 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3961
(215) 364-1488
(215) 364-1020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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