Individual
DR. REECA DAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 778-3042
Mailing address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3675
AR
122300000X
Dentist
IN PROGRESS
KY
1223P0221X
Pediatric Dentistry
Primary
2012019714
MO
Other
Enumeration date
06/24/2008
Last updated
06/26/2013
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