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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 - Lodi
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BOYES (C.O.O.)
(916) 570-1500
Entity
Organization
Contact information
Practice address
1361 S LOWER SACRAMENTO RD, STE #601, LODI, CA 95242-9296
(916) 570-1500
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/12/2014
Last updated
02/09/2023
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