Kenneth Dimagmaliw Reyes DDS

NPI 1194912576 - Dentist - 1223G0001X

NPI Details
NPI 1194912576
Gender Male
Enumeration Date 09/28/2007
Last Updated 02/23/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
3980 SAN PABLO DAM RD
SUITE 202
EL SOBRANTE CA, 94803-2840, US
Phone (510) 323-5002
Fax
Business Location
PO BOX 5215
HERCULES CA, 94547-5215, US
Phone (510) 323-5002
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 48173
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According to our database, Mr. Kenneth Dimagmaliw Reyes DDS NPI is 1194912576, taxonomy code is 1223G0001X and license number is 48173, license state is located at California. Kenneth Dimagmaliw Reyes DDS physically located at 3980 San Pablo Dam Rd, El Sobrante CA, 94803-2840. NPI Number Kenneth Dimagmaliw Reyes DDS has the Individual type.

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1194912576 NPI number is provided on an as is basis without warranty of any kind. 1194912576 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dimagmaliw Reyes DDS are for informational purposes only.