Individual
DR. DEEPA REDDY GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6901 MCCART AVE STE 175, FORT WORTH, TX 76133-6373
(817) 263-8500
Mailing address
14 ALBURY WAY, NORTH BRUNSWICK, NJ 08902-4201
(908) 307-0346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23668
TX
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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