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Organization

REESOR DENTAL GROUP, PC

Active
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Organization

REESOR DENTAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON REESOR DDS (OWNER)
(661) 477-5168
Entity
Organization

Contact information

Practice address
11968 BERNARDO PLAZA DR, SAN DIEGO, CA 92128-2538
(858) 521-0000
Mailing address
11968 BERNARDO PLAZA DR, SAN DIEGO, CA 92128-2538

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
06/29/2018
Last updated
06/29/2018
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  • EDI platform