Individual
DR. DANIEL LEE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 JEFFERSON AVE, DENTAL SERVICE (160), MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7307
Mailing address
5575 BAYBERRY CV, MEMPHIS, TN 38120-2443
(901) 821-9861
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1613-74
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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