Organization
REEVES, DDS AND LAVALLEY, DDS A DENTAL CORPORATION
Active
Other names
Kids Care Dental & Orthodontics - Tracy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BOYES (COO)
(916) 570-1500
Entity
Organization
Contact information
Practice address
2805 NAGLEE RD STE 150, TRACY, CA 95304-7339
(916) 444-5437
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/21/2015
Last updated
02/09/2023
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