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Individual
MICHAEL S REDDY
Active
Individual
MICHAEL S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
16137
MA
1223P0300X
Periodontics
Primary
4318
AL
Other
Enumeration date
12/04/2006
Last updated
05/04/2015
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