Individual
EDWARD NEIL REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8620 CALMONT AVE, FORT WORTH, TX 76116-2802
(817) 244-6315
(817) 244-4530
Mailing address
8620 CALMONT AVE, FT. WORTH, TX 76116-2802
(817) 244-6315
(817) 244-4530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9697
TX
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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