Organization
STOUGHTON DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDYA REDDY DMD (MEMBER)
(617) 686-9034
Entity
Organization
Contact information
Practice address
35 PARK ST, STOUGHTON, MA 02072-2913
(508) 733-9046
Mailing address
35 PARK ST, STOUGHTON, MA 02072-2913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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