Organization
OS DENTAL LLC
Active
Other names
Manchester Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN REDDIVARI D.M.D (DENTIST/ MANAGER/ OWNER)
(781) 552-1567
Entity
Organization
Contact information
Practice address
155 DOW ST STE 401, MANCHESTER, NH 03101-3200
(603) 622-6073
Mailing address
9 EASY ST, WINDHAM, NH 03087-1579
(781) 552-1567
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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