Individual
MICHAEL F REISCHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
655 W SMITH ST, STE 206, KENT, WA 98032-4477
(253) 854-8306
(253) 854-5575
Mailing address
655 W SMITH ST, STE 206, KENT, WA 98032-4477
(253) 854-8306
(253) 854-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23970
DEPT OF L&I PROVIDER #
WA
Enumeration date
12/31/2006
Last updated
07/08/2007
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