Individual
DANELLE REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36535
TX
Other
Enumeration date
10/01/2020
Last updated
11/02/2021
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