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Individual
DR. PRATYUSHA MALIREDDY
Active
Individual
DR. PRATYUSHA MALIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38593
DENTAL LICENSE
TX
Enumeration date
06/22/2022
Last updated
06/22/2022
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