Individual
DR. JOHNNY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4722 N SOUTHSIDE PLAZA ST # 24, RICHMOND, VA 23224-1742
(804) 230-4758
Mailing address
PO BOX 29452, RICHMOND, VA 23242-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008226
VA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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