Individual
ANIL KUMAR REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MPH MSNDRCSED
Contact information
Practice address
1336 N GALLOWAY AVE, STE 110, MESQUITE, TX 75149
(972) 329-5437
(972) 329-5436
Mailing address
1336 N GALLOWAY AVE, STE 110, MESQUITE, TX 75149
(972) 329-5437
(972) 329-5436
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009518401
—
TX
Enumeration date
10/20/2006
Last updated
07/08/2007
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