Individual
MR. DAVID REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA EF
Contact information
Practice address
1406 N AZUSA AVE, COVINA, CA 91722-1257
(626) 858-9940
Mailing address
1406 N. AZUSA AVE., COVINA, CA 91722
(626) 858-9940
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1119
CA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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