Randall Craig Reyes D.M.D.

NPI 1154479285 - Dentist - 1223G0001X

NPI Details
NPI 1154479285
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2645 MUEGGE RD
SAINT CHARLES MO, 63303-3145, US
Phone (636) 939-6868
Fax (636) 447-3611
Business Location
11939 MANCHESTER RD
SUITE 120
DES PERES MO, 63131-4502, US
Phone (636) 939-6868
Fax (636) 447-3611
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 015761
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According to our database, Randall Craig Reyes D.M.D. NPI is 1154479285, taxonomy code is 1223G0001X and license number is 015761, license state is located at Missouri. Randall Craig Reyes D.M.D. physically located at 2645 Muegge Rd, Saint Charles MO, 63303-3145. NPI Number Randall Craig Reyes D.M.D. has the Individual type.

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1154479285 NPI number is provided on an as is basis without warranty of any kind. 1154479285 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Craig Reyes D.M.D. are for informational purposes only.