Organization
REDDY PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR REDDY DDS. (DOCTOR/OWNER)
(214) 213-8966
Entity
Organization
Contact information
Practice address
274 SOUTH COLLINS ROAD, SUNNYVALE, TX 75182
(972) 329-5437
(972) 329-5436
Mailing address
274 SOUTH COLLINS ROAD, SUNNYVALE, TX 75182
(972) 329-5437
(972) 329-5436
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095184-01
—
TX
Enumeration date
01/05/2012
Last updated
01/05/2012
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