Individual
PHANIDHAR VENKATA REDDY SADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
200 SPRINGS ROAD, BLDG #2, DENTAL CLINIC, BEDFORD, MA 01730
(781) 687-2470
(781) 687-3511
Mailing address
200 SPRINGS ROAD, BLDG #2, DENTAL CLINIC, BEDFORD, MA 01730
(781) 687-2470
(781) 687-3511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN1855759
MA
1223P0700X
Prosthodontics
Primary
DN1855759
MA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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