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Individual

MANOJ KUMAR REDDY GADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30 BALDWIN BLVD STE 95, SHAMOKIN DAM, PA 17876-9520
(267) 809-2364
(570) 256-1772
Mailing address
30 BALDWIN BLVD STE 95, SHAMOKIN DAM, PA 17876-9520
(267) 809-2364
(570) 256-1772

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
PA

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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