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Organization
ROSEMARIE CRISTINA P. REYES DDS INC.
Active
Organization
ROSEMARIE CRISTINA P. REYES DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE CRISTINA PATRICIO REYES DDS (CEO)
(760) 243-7701
Entity
Organization
Contact information
Practice address
12602 AMARGOSA RD, STE. D, VICTORVILLE, CA 92392-7640
(760) 243-7701
(760) 243-2303
Mailing address
12602 AMARGOSA RD, STE. D, VICTORVILLE, CA 92392-7640
(760) 243-7701
(760) 243-2303
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93327-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
07/19/2007
Last updated
07/19/2007
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