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Organization

REDDY DENTAL DBA PA

Active
Other names
The Tooth Doctor
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NUKALA H REDDY DDS (OWNER/DENTIST)
(210) 493-5555
Entity
Organization

Contact information

Practice address
13618 NW MILITARY HWY, SHAVANO PARK, TX 78231-1804
(210) 493-5555
(210) 493-5561
Mailing address
13618 NW MILITARY HWY, SHAVANO PARK, TX 78231-1804
(210) 493-5555
(210) 493-5561

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22740
TX

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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