| Nirup Reddy And Bortay Dehnadi D.d.s, Inc. | |
|
1507 Panama Ln Ste 102 Bakersfield CA 93307-5682 | |
| (661) 398-5555 | |
| (661) 398-5510 |
| Full Name | Nirup Reddy And Bortay Dehnadi D.d.s, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1507 Panama Ln Ste 102, Bakersfield, California |
| Authorized Official Name and Position | Nirup Reddy (DENTIST) |
| Authorized Official Contact | 6613985555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirup Reddy And Bortay Dehnadi D.d.s, Inc. 1507 Panama Ln Ste 102 Bakersfield CA 93307-5682 Ph: (661) 398-5555 | Nirup Reddy And Bortay Dehnadi D.d.s, Inc. 1507 Panama Ln Ste 102 Bakersfield CA 93307-5682 Ph: (661) 398-5555 |
| NPI Number | 1407380207 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407380207 | NPI | - | NPPES |
| 1487027843 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50800 (California) | Primary |
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