Individual
DR. SURENDRA REDDY MANDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 585-5880
Mailing address
12 CENTER ST, NORTHAMPTON, MA 01060-3005
(413) 585-5880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032588
IL
Other
Enumeration date
05/27/2020
Last updated
07/26/2021
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