Individual
GOPI KRISHNA VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
910 W IRVINGTON RD STE 180, TUCSON, AZ 85714-2460
(520) 806-0120
(520) 806-4199
Mailing address
201 W 8TH ST STE 810, PUEBLO, CO 81003-3037
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7293
AZ
Other
Enumeration date
08/06/2007
Last updated
05/25/2010
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