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Organization

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

Active
Other names
Children's Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
MARK FULLER (CFO)
(720) 339-0332
Entity
Organization

Contact information

Practice address
24837 104TH AVE SE STE 200, KENT, WA 98030-6800
(253) 850-1234
Mailing address
3100 ZINFANDEL DR STE 400, RANCHO CORDOVA, CA 95670-6391
(720) 339-0332

Taxonomy

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

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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