Lalitha Reddy Shada
Dentist in Gonzales, TX. Individual provider (NPI-1).
NPI number1831874643
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1831874643
- Entity type
- Individual (NPI-1)
- Name
- Lalitha Reddy Shada
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 39660 | TX | Yes |
Practice location
1600 N Sarah Dewitt Dr Ste 206Gonzales, TX 78629-2714
Phone 830-971-0268
Mailing address
8321 Donnelley DrAustin, TX 78744-1522
Phone 630-461-4141
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All 7 Dentist providers in Gonzales · All 166 providers in Gonzales
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