Individual
DR. KAELIE LYNN REVIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
550 HAMMILL LN, RENO, NV 89511-2045
(775) 287-8590
Mailing address
2060 PARKRIDGE CIR, RENO, NV 89509-5720
(775) 287-8590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7226
NV
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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