Individual
DR. DAVID ALAN REZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9770
(494) 616-9745
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9770
(494) 616-9745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010166
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00358388D
—
GA
Enumeration date
05/11/2007
Last updated
07/08/2007
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