Individual
POOJA K REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
134 EVERGREEN RD, SUITE 200, LOUISVILLE, KY 40243-1487
(502) 254-8514
Mailing address
3012 LONG CREEK WAY, LOUISVILLE, KY 40245-5305
(502) 296-9799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9330
KY
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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