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Organization
REDDY DENTAL CORPORATION
Active
Organization
REDDY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK NANAMALA REDDY DDS (PRESIDENT/CEO)
(760) 402-0529
Entity
Organization
Contact information
Practice address
40140 WINCHESTER RD, SUITE A, TEMECULA, CA 92591-5511
(951) 695-1870
(951) 695-0760
Mailing address
40140 WINCHESTER RD, SUITE A, TEMECULA, CA 92591-5511
(951) 695-1870
(951) 695-0760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62102
CA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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