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Organization
REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION
Active
Organization
REEVES, DDS AND LAVALLEY, DDS, A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics - Manteca
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR SMITH (CFO)
(209) 824-5437
Entity
Organization
Contact information
Practice address
115 SPRECKELS AVE, MANTECA, CA 95336-6000
(916) 444-5437
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(844) 616-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/17/2015
Last updated
02/09/2023
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