Individual
STEPHANIE MARIE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13869 W BELL RD STE 103, SURPRISE, AZ 85374-2468
(623) 584-4015
Mailing address
8516 S 31ST WAY, PHOENIX, AZ 85042-8250
(915) 202-1749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012225
AZ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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