Individual
DR. REENA KANDYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1070 SAINT JAMES AVE, SPRINGFIELD, MA 01104-1453
(413) 278-6904
Mailing address
11-4 ARTHUR DR, SOUTH WINDSOR, CT 06074-3673
(832) 841-5878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12679
CT
1223G0001X
General Practice Dentistry
DEN.00203424
CO
1223G0001X
General Practice Dentistry
Primary
DN1859260
MA
Other
Enumeration date
01/11/2018
Last updated
12/08/2021
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