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Organization
NIRUP REDDY AND BORTAY DEHNADI D.D.S, INC.
Active
Organization
NIRUP REDDY AND BORTAY DEHNADI D.D.S, INC.
Active
Parent organization
HACIENDA DENTAL
Other names
Nirup Reddy and Bortay Dehnadi D.D.S, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HACIENDA DENTAL
Authorized official
NIRUP REDDY D.D.S (DENTIST)
(661) 398-5555
Entity
Organization
Contact information
Practice address
1507 PANAMA LN STE 102, BAKERSFIELD, CA 93307-5682
(661) 398-5555
(661) 398-5510
Mailing address
1507 PANAMA LN STE 102, BAKERSFIELD, CA 93307-5682
(661) 398-5555
(661) 398-5510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487027843
—
CA
Enumeration date
04/18/2017
Last updated
04/18/2017
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