Individual
HARICHANDANA VEMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
401 BOYD DR, #6112, GRAPEVINE, TX 76051-6355
(972) 833-7006
Mailing address
401BOYD DR, #6112, GRAPEVINE, TX 76051-6352
(972) 833-7006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28505
TX
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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