Mark George Reitz D.D.S.

NPI 1467540393 - Dentist - 1223G0001X

NPI Details
NPI 1467540393
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
103 E BROAD ST
BLACKSTONE VA, 23824-1815, US
Phone (434) 292-5318
Fax
Business Location
103 E BROAD ST
BLACKSTONE VA, 23824-1815, US
Phone (434) 292-5318
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 05302
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According to our database, Dr. Mark George Reitz D.D.S. NPI is 1467540393, taxonomy code is 1223G0001X and license number is 05302, license state is located at Virginia. Mark George Reitz D.D.S. physically located at 103 E Broad St, Blackstone VA, 23824-1815. NPI Number Mark George Reitz D.D.S. has the Individual type.

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1467540393 NPI number is provided on an as is basis without warranty of any kind. 1467540393 is maintained by the National Plan & Provider Enumeration System. The contents of Mark George Reitz D.D.S. are for informational purposes only.