Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR SMITH (CFO)
(916) 444-5437
Entity
Organization
Contact information
Practice address
2277 FAIR OAKS BLVD STE 330, SACRAMENTO, CA 95825-5596
(111) 111-1111
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(323) 804-1471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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