Organization
ROBERT R REITZ, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RICHARD REITZ DDS (PRESIDENT)
(605) 339-0219
Entity
Organization
Contact information
Practice address
3508 S MINNESOTA AVE, SUITE 108, SIOUX FALLS, SD 57105-6461
(605) 339-0219
Mailing address
3508 S MINNESOTA AVE, SUITE 108, SIOUX FALLS, SD 57105-6461
(605) 339-0219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-460
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780-2900
—
SD
Enumeration date
03/26/2007
Last updated
08/22/2020
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