NPI | 1285859017 |
---|---|
Former Legal Business Name | J.V.REDDY,D.D.S,INC |
Entity Type | Organization |
Authorized Contact | J. V REDDY President 831-757-7504 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |