Individual
MARIAH REICHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
60024 OLIVE ST, SMITHVILLE, MS 38870-9719
(662) 651-7111
(662) 651-7115
Mailing address
PO BOX 205, SMITHVILLE, MS 38870-0205
(662) 651-7111
(662) 651-7115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4151-20
MS
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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