Individual
AVANIJA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 BONNABROOK DR, HERMITAGE, TN 37076-1910
(615) 889-1654
Mailing address
107 BONNABROOK DR, HERMITAGE, TN 37076-1910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9893
TN
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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