| NPI | 1770902090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHMA REDDY DONTHI REDDY President 908-955-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855451) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |