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Organization
SWETHA REDDY & PAVAN KANCHARLA LLC
Active
Organization
SWETHA REDDY & PAVAN KANCHARLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWETHA G REDDY DMD (OWNER)
(321) 914-0080
Entity
Organization
Contact information
Practice address
190 MALABAR RD., SUITE 104, PALM BAY, FL 32907
(321) 914-0080
(321) 241-3002
Mailing address
190 MALABAR RD SW STE 104, PALM BAY, FL 32907-2975
(321) 576-4825
(321) 241-3002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
08/21/2024
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