Individual
DR. SANJAY REDDY BOMMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
49 CROSS STREET EXT, GARDNER, MA 01440-2209
(978) 632-5659
(978) 632-5713
Mailing address
49 CROSS STREET EXT, GARDNER, MA 01440-2209
(978) 632-5659
(978) 632-5713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856434
MA
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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