Organization
REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
Active
Other names
Kids Care Dental Group - Folsom
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR SMITH (CFO)
(844) 616-5437
Entity
Organization
Contact information
Practice address
8950 CAL CENTER DR, BUILDING 1, STE 363, SACRAMENTO, CA 95826-3259
(916) 570-1500
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(530) 635-6385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/04/2013
Last updated
02/01/2021
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