Individual
DR. TINA M KAO-REASONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
125 SCOTT ST, DAVENPORT, IA 52801-1130
(563) 336-3222
(563) 336-3229
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 336-3014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932193224
—
IA
Enumeration date
08/31/2009
Last updated
04/29/2013
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