Individual
DR. SUMAN REDDIVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2 PILLSBURY ST STE 301, CONCORD, NH 03301-3549
(603) 224-4025
Mailing address
2 PILLSBURY ST STE 301, CONCORD, NH 03301-3549
(603) 224-4025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03802
NH
1223G0001X
General Practice Dentistry
DN1855179
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071228
—
NH
Enumeration date
06/23/2009
Last updated
03/17/2021
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