Individual
STEVEN GORDON REITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10555 N TATUM BLVD, SUITE A106, PARADISE VALLEY, AZ 85253-1097
(480) 991-0090
(480) 951-2278
Mailing address
10555 N TATUM BLVD, SUITE A106, PARADISE VALLEY, AZ 85253-1097
(480) 991-0090
(480) 951-2278
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2104
AZ
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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