Organization
AR NUKALA MGMT LLC
Active
Other names
RC Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPA REDDY GADDAM DDS (OWNER)
(908) 307-0346
Entity
Organization
Contact information
Practice address
115 FM 2453 SUITE B, ROYSE CITY, TX 75189
(469) 981-0352
(469) 981-0358
Mailing address
115 FM 2453 SUITE B, ROYSE CITY, TX 75189
(469) 981-0352
(469) 981-0358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945883
—
TX
Enumeration date
08/18/2021
Last updated
08/20/2021
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