Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR SMITH (CFO)
(916) 340-1075
Entity
Organization
Contact information
Practice address
3000 W JACK LONDON BLVD SPC A-1, LIVERMORE, CA 94551-7609
(844) 616-5437
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(844) 616-5437
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
07/07/2021
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