Individual
MR. MIGUEL ANGEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
3727 TENAYA AVE, SOUTH GATE, CA 90280-6546
(323) 567-3040
Mailing address
3727 TENAYA AVE, SOUTH GATE, CA 90280-6546
(323) 567-3040
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
44555
CA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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