| Bloom & Reddy Dds Pc | |
|
130 Thomas Johnson Drive Suite 2 Frederick MD 21702-4582 | |
| (301) 631-5860 | |
| (301) 631-5861 |
| Full Name | Bloom & Reddy Dds Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 130 Thomas Johnson Drive, Frederick, Maryland |
| Authorized Official Name and Position | Kavitha B Reddy (ORTHODONTIST PARTNER) |
| Authorized Official Contact | 3016315860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom & Reddy Dds Pc 130 Thomas Johnson Drive Suite 2 Frederick MD 21702-4582 Ph: (301) 631-5860 | Bloom & Reddy Dds Pc 130 Thomas Johnson Drive Suite 2 Frederick MD 21702-4582 Ph: (301) 631-5860 |
| NPI Number | 1427102961 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427102961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11628 (Maryland) | Primary |
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