Individual
CHRISTOPHER RAY REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1526 W GLENDALE AVE, SUITE #102, PHOENIX, AZ 85021-8576
(602) 995-0114
(602) 995-1300
Mailing address
1526 W GLENDALE AVE, SUITE #102, PHOENIX, AZ 85021-8576
(602) 995-0114
(602) 995-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5097
AZ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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