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Organization

BLOOM & REDDY DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAVITHA B REDDY DDS MS (ORTHODONTIST PARTNER)
(301) 631-5860
Entity
Organization

Contact information

Practice address
130 THOMAS JOHNSON DRIVE, SUITE 2, FREDERICK, MD 21702-4582
(301) 631-5860
(301) 631-5861
Mailing address
130 THOMAS JOHNSON DRIVE, SUITE 2, FREDERICK, MD 21702-4582
(301) 631-5860
(301) 631-5861

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11628
MD

Other

Enumeration date
01/22/2007
Last updated
08/22/2020
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