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Organization

REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR SMITH (CFO)
(916) 444-5437
Entity
Organization

Contact information

Practice address
5757 PACIFIC AVE UNIT A-145, STOCKTON, CA 95207-5100
(844) 616-5437
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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