Individual
JUAQUIN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10936 NORTH FWY, HOUSTON, TX 77037-1108
(936) 236-9566
Mailing address
12339 VILLAGER CT, TAMPA, FL 33625-6547
(813) 753-3756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39559
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2023
Last updated
06/19/2023
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