Individual
DEEPTHI VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
97 W MERRIMACK ST, MANCHESTER, NH 03101-2327
(603) 669-8678
Mailing address
97 W MERRIMACK ST, MANCHESTER, NH 03101-2327
(603) 669-8678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856126
MA
Other
Enumeration date
09/14/2012
Last updated
06/22/2018
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