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Organization
E.P. REYES DENTAL, INC
Active
Organization
E.P. REYES DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN PAA REYES DMD (PRESIDENT/DENTIST)
(510) 487-6265
Entity
Organization
Contact information
Practice address
32138 ALVARADO BLVD, UNION CITY, CA 94587-4000
(510) 487-6265
Mailing address
32138 ALVARADO BLVD, UNION CITY, CA 94587-4000
(510) 487-6265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B35979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B3597901
—
CA
Enumeration date
08/22/2014
Last updated
08/22/2014
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