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Individual

MR. BRIAN DANIEL REICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11973 SAN VICENTE BLVD, SUITE #212, LOS ANGELES, CA 90049-5098
(310) 472-6001
(310) 472-6061
Mailing address
11973 SAN VICENTE BLVD, SUITE #212, LOS ANGELES, CA 90049-5098
(310) 472-6001
(310) 472-6061

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36312
CA

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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