Individual
DR. NAIMISHA REDDY MANDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2125 E MAIN ST STE 500, SPARTANBURG, SC 29307-1457
(864) 285-3617
(864) 285-3618
Mailing address
613 GREYWELL CT, GREER, SC 29651-7018
(864) 386-5729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9036
SC
Other
Enumeration date
10/17/2017
Last updated
02/17/2022
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