Individual
DR. EDWIN TAN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20911 LORAIN RD, FAIRVIEW PARK, OH 44126-2022
(440) 333-3191
Mailing address
5401 OAKWOOD DR, SHEFFIELD VILLAGE, OH 44054-2459
(440) 934-0258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20451
OH
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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