Reddy Dental

NPI #1619648342 in Hobbs, New Mexico

Provider Information

NPI Number: 1619648342
Entity Type: Organization
Organization Name: Reddy Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 22, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 3218 N GRIMES ST
City: Hobbs
State: New Mexico
ZIP Code: 88240-1254
Phone: (575) 396-4074

Authorized Official

Name: DR. NISHANTH REDDY PUCHALAPALLI, DDS
Title: MANAGING MEMBER
Phone: (408) 306-8365

Specialties & Taxonomy Codes

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

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