| NPI | 1891729729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATHI REDDY President 215-497-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SD DS031059L) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |