Individual
KATELYN MARIE REAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3272 E RIO VIRGIN RD, BEAVER DAM, AZ 86432-3200
(928) 645-9675
(928) 645-1414
Mailing address
1165 E BULLOCH ST UNIT F312, WASHINGTON, UT 84780-3360
(720) 413-0704
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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