Individual
AMBICA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-0080
(417) 782-0096
Mailing address
1802 S MINNESOTA AVE, JOPLIN, MO 64804-2238
(267) 496-9487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023043787
MO
Other
Enumeration date
01/17/2023
Last updated
11/08/2023
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