Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 1119 | CA |
NPI | 1033355045 |
---|---|
Provider Name | Mr. David Reyes |
First Address | Covina, CA 91722 |
Second Address | Covina, CA 91722-1257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 22/12/2008 |