Organization
RAJU REDDY DDS,MD,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJU YEDDULA REDDY DDS,MD (PRESIDENT)
(650) 387-6517
Entity
Organization
Contact information
Practice address
11 BIRCH ST, SUITE 110, REDWOOD CITY, CA 94062-1480
(650) 387-6517
(650) 362-1980
Mailing address
11 BIRCH ST, SUITE 110, REDWOOD CITY, CA 94062-1480
(650) 387-6517
(650) 362-1980
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
A80394
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
GA 1293
CA
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
OMS46
CA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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