Individual
DR. ELMER LEONARD REAVES JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1320 LASALLE AVE, HAMPTON, VA 23669-3801
(757) 727-2585
(757) 727-4881
Mailing address
1304 BRADDOCK AVE, VIRGINIA BEACH, VA 23455-4102
(757) 363-9568
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401005262
VA
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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