Individual
DR. IGNACIO REINA MADRID IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4 SUNSET WAY, HENDERSON, NV 89014-2015
(702) 968-5222
Mailing address
2029 STAR PINE WAY, SAN LEANDRO, CA 94577-1362
(510) 697-3924
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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