Organization
HOLLISTON FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA REDDY DMD (SOLE MEMBER)
(617) 686-9034
Entity
Organization
Contact information
Practice address
21 CHARLES ST, HOLLISTON, MA 01746-2134
(508) 429-5666
Mailing address
21 CHARLES ST, HOLLISTON, MA 01746
(617) 686-9034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/12/2017
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