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
3694 HILBORN RD STE 202, FAIRFIELD, CA 94534-7988
(707) 422-2190
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(844) 616-5437
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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