Peddireddy, Divya Reddy

Peddireddy, Divya Reddy is an individual health care provider with primary practice located at 3070 Bristol St Ste 180 , Costa Mesa CA 92626-3072. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Peddireddy, Divya Reddy can be contacted via phone (714) 924-4824.

Contact Information

Primary practice address
3070 Bristol St Ste 180 Costa Mesa CA 92626-3072
Phone: (714) 924-4824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DDS62530 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS62530 California

Profile Details

NPI number 1356782080
LBN Legal business name Peddireddy, Divya Reddy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Feb 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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