Reddy Dental Corporation

NPI #1215318183 in Temecula, California

Provider Information

NPI Number: 1215318183
Entity Type: Organization
Organization Name: Reddy Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 40140 WINCHESTER RD
Address 2: SUITE A
City: Temecula
State: California
ZIP Code: 92591-5511
Phone: (951) 695-1870

Authorized Official

Name: DR. DEEPAK NANAMALA REDDY, DDS
Title: PRESIDENT/CEO
Phone: (760) 402-0529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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