Provider Demographics
NPI:1770732638
Name:BORTAY DEHNADI,DDS AND NIRUP REDDY,DDS
Entity type:Organization
Organization Name:BORTAY DEHNADI,DDS AND NIRUP REDDY,DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BORTAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHNADI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-525-3375
Mailing Address - Street 1:251 W HARVARD BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-3213
Mailing Address - Country:US
Mailing Address - Phone:805-525-3375
Mailing Address - Fax:805-525-1532
Practice Address - Street 1:251 W HARVARD BLVD
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3213
Practice Address - Country:US
Practice Address - Phone:805-525-3375
Practice Address - Fax:805-525-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty