Individual
DR. KISHORE K VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMS
Contact information
Practice address
4957 W TUSCARAWAS, AMERICAN DENTAL CENTER, CANTON, OH 44708
(330) 478-5111
(330) 479-0518
Mailing address
6140 PARKLAND BLVD SUITE 100, AMERICAN DENTAL CENTER, MAYFIELD HTS, OH 44124
(440) 446-1555
(440) 446-1999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18651
OH
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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