Individual
DR. GWENDOLYN SIMMONS REEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
525 E 68TH ST, BAKER 21, NEW YORK, NY 10065-4870
(212) 746-5175
Mailing address
525 E 68TH ST, BAKER 21, NEW YORK, NY 10065-4870
(212) 746-5175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057793
NY
Other
Enumeration date
04/09/2010
Last updated
06/16/2015
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