SHANMUKHA REDDY KALLAM

PHILADELPHIA, PA
NPI1184257610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: PA  DS042550)
Enumeration Date2020-02-12
Last Update Date2020-02-12
Business Address
DR. SHANMUKHA REDDY KALLAM DDS
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131-4729
Phone number: 215-879-1777
Mailing Address
DR. SHANMUKHA REDDY KALLAM DDS
22 SHORT HILLS BLVD
JACKSON, NJ 08527-4883
Phone number: 732-678-7185
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