Organization
REZNIK ORTHODONTICS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOUIS REZNIK D.D.S. (PARTNER)
(432) 333-7105
Entity
Organization
Contact information
Practice address
3831 E 52ND ST, ODESSA, TX 79762-4762
(432) 333-7105
(432) 333-9490
Mailing address
3831 E 52ND ST, ODESSA, TX 79762-4762
(432) 333-7105
(432) 333-9490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11123
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
23067
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
23423
TX
Other
Enumeration date
10/28/2008
Last updated
11/02/2011
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