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Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics - Rancho Cordova
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK BOYES (CEO)
(916) 570-1500
Entity
Organization
Contact information
Practice address
3101 ZINFANDEL DR, STE 120, RANCHO CORDOVA, CA 95670-6395
(916) 638-8099
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(916) 570-1500
(916) 469-2315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47785
CA
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/07/2014
Last updated
02/09/2023
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