Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics - Lodi Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR SMITH (CFO)
(916) 340-1075
Entity
Organization
Contact information
Practice address
1361 S LOWER SACRAMENTO RD STE 605, LODI, CA 95242-9296
(844) 616-5437
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/01/2020
Last updated
02/09/2023
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