Individual
FRED DEE REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
806 MEDICAL CIRCLE DRIVE, SUITE 300, LONGVIEW, TX 75605-5110
(903) 236-7023
(903) 236-7723
Mailing address
806 MEDICAL CIRCLE DRIVE, SUITE 300, LONGVIEW, TX 75605-5110
(903) 236-7023
(903) 236-7723
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12317
TX
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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