Individual
DR. JOSE B DE LOS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 NORTH MILWAUKEE AVENUE, SUITE A, LAKE VILLA, IL 60046
(847) 699-2358
(847) 265-0744
Mailing address
PO BOX 188, 300 NORTH MILWAUKEE AVENUE SUITE A, LAKE VILLA, IL 60046
(847) 699-2358
(847) 265-0744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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