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Individual

BRETT REEVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-6225
Mailing address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24967
TX

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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