Individual
PRASHANT REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4020 W PARK BLVD, PLANO, TX 75093-3839
(972) 596-7474
(972) 596-8170
Mailing address
4020 W PARK BLVD, PLANO, TX 75093-3839
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23534
TX
Other
Enumeration date
08/22/2005
Last updated
05/03/2012
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