Organization
ANDES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHASHIDHAR RAMCHANDRAREDDY (MEMBER)
(617) 820-9291
Entity
Organization
Contact information
Practice address
5212 CEDAR ST, BELLAIRE, TX 77401-3915
(713) 668-3677
(713) 661-2597
Mailing address
5212 CEDAR ST, BELLAIRE, TX 77401-3915
(713) 668-3677
(713) 661-2597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26550
TX
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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