Individual
ERIC JOHN REITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2414 LYTLE RD, BETHEL PARK, PA 15102-2736
(412) 831-2188
(412) 831-6360
Mailing address
2414 LYTLE RD, BETHEL PARK, PA 15102-2736
(412) 831-2188
(412) 831-6360
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS019047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000734348-0001
—
PA
Enumeration date
05/03/2011
Last updated
05/03/2011
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