| Reddy Dental Corporation | |
|
40140 Winchester Rd Suite A Temecula CA 92591-5511 | |
| (951) 695-1870 | |
| (951) 695-0760 |
| Full Name | Reddy Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40140 Winchester Rd, Temecula, California |
| Authorized Official Name and Position | Deepak Nanamala Reddy (PRESIDENT/CEO) |
| Authorized Official Contact | 7604020529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reddy Dental Corporation 40140 Winchester Rd Suite A Temecula CA 92591-5511 Ph: (951) 695-1870 | Reddy Dental Corporation 40140 Winchester Rd Suite A Temecula CA 92591-5511 Ph: (951) 695-1870 |
| NPI Number | 1215318183 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215318183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 62102 (California) | Primary |
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