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Individual
REID SANO
Active
Individual
REID SANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105738
DENTIST LICENSE
CA
Enumeration date
12/08/2020
Last updated
02/22/2021
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