Individual
DR. REZA MICHAEL BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3051 HIGHLAND OAKS TER, SUITE 4, TALLAHASSEE, FL 32301-3845
(850) 656-3917
Mailing address
3909 RESERVE DR, APT 2623, TALLAHASSEE, FL 32311-8200
(850) 241-2868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20885
FL
Other
Enumeration date
06/09/2014
Last updated
04/27/2017
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