Organization
MICHAEL L. REZNIK, D.D.S., M.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOUIS REZNIK D.D.S. (PRESIDENT)
(432) 333-7105
Entity
Organization
Contact information
Practice address
2469 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-7105
(432) 333-9490
Mailing address
2469 E 11TH ST, ODESSA, TX 79761-4232
(432) 333-7105
(432) 333-9490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11123
TX
Other
Enumeration date
04/18/2007
Last updated
06/12/2008
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