Organization
REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics - Greenback
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BOYES (COO)
(916) 570-1500
Entity
Organization
Contact information
Practice address
6300 GARFIELD AVE, STE 150, SACRAMENTO, CA 95841-5401
(916) 344-1000
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(916) 570-1500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/13/2013
Last updated
02/09/2023
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