KARTHIKA BASIREDDY
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1669025441- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2 EXECUTIVE DR, LAFAYETTE, IN, 479054878
- Phone
- (270) 935-9001
Specialties & Taxonomies
Dentist
Primary License: IN #12013250A