Individual
DR. MARK GEORGE REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
103 E BROAD ST, BLACKSTONE, VA 23824-1815
(434) 292-5318
Mailing address
103 E BROAD ST, BLACKSTONE, VA 23824-1815
(434) 292-5318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05302
VA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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