Shanthala Gowdara Srinivasa Reddy

NPI #1902447899 in Aubrey, Texas

Provider Information

NPI Number: 1902447899
Entity Type: Individual
Name: Shanthala Gowdara Srinivasa Reddy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 2, 2019
Last Updated: Dec 25, 2024

Practice Location

Address: 1001 US HIGHWAY 377 S STE 107
City: Aubrey
State: Texas
ZIP Code: 76227-5658
Phone: (940) 202-0670

Specialties & Taxonomy Codes

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

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