Individual
AVESTA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6013 NILES ST STE 1, BAKERSFIELD, CA 93306-4696
(661) 741-1029
Mailing address
6013 NILES ST STE 1, BAKERSFIELD, CA 93306-4696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110168
CA
Other
Enumeration date
05/05/2023
Last updated
08/16/2024
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