Individual
DR. MARK LOGAN REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5614 POTTER RD STE 106, MATTHEWS, NC 28104-0667
(704) 684-4443
(704) 684-4453
Mailing address
5614 POTTER RD STE 106, MATTHEWS, NC 28104-0667
(704) 684-4443
(704) 684-4453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10842
NC
1223G0001X
General Practice Dentistry
15506
MD
1223G0001X
General Practice Dentistry
DS040270
PA
Other
Enumeration date
05/27/2014
Last updated
11/16/2021
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