Individual
DR. KIREETI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
N97W17095 DIVISION RD, GERMANTOWN, WI 53022-4606
(262) 618-7479
Mailing address
N97W17095 DIVISION RD, GERMANTOWN, WI 53022-4606
(262) 618-7479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002774-15
WI
122300000X
Dentist
2901600148
MI
Other
Enumeration date
06/09/2019
Last updated
05/03/2022
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