Individual
DR. BANGALORE T SHARAT C REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3103 76TH ST, EAST ELMHURST, NY 11370-1822
(718) 899-6696
Mailing address
3103 76TH ST, EAST ELMHURST, NY 11370-1822
(718) 899-6696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042290
NY
Other
Enumeration date
12/31/2007
Last updated
05/30/2008
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