Individual
DR. LARRY JOSEPH GOZUM REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 N QUINCY ST, ARLINGTON, VA 22203-1907
(703) 276-1010
Mailing address
13568 DAVINCI LN, OAK HILL, VA 20171-6107
(240) 383-0399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413250
VA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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