Organization
ROSEMARIE CRISTINA P. REYES DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE CRISTINA PATRICIO REYES DDS (CEO)
(760) 243-7701
Entity
Organization
Contact information
Practice address
12602 AMARGOSA RD, STE. D, VICTORVILLE, CA 92392-7640
(760) 243-7701
(760) 243-2303
Mailing address
12602 AMARGOSA RD, STE. D, VICTORVILLE, CA 92392-7640
(760) 243-7701
(760) 243-2303
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93327-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
07/19/2007
Last updated
07/19/2007
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