Individual
SANJAY REDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S., M.D.
Contact information
Practice address
2453 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-6585
(432) 333-9346
Mailing address
2453 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-6585
(432) 333-9346
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21045
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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