DARYL REAVIS, DMD
Dentist
Active
Individual
NPI: 1518342179
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D01503 (AZ) |
Frequently Asked Questions
NPI 1518342179 is the National Provider Identifier for DARYL REAVIS, DMD, a Dentist provider located in Coos Bay, OR. This NPI was enumerated on July 24, 2015.
DARYL REAVIS, DMD practices at 1245 FULTON AVE, Coos Bay, OR 97420.
Quick Facts
- NPI
- 1518342179
- Type
- Individual
- Enumerated
- Jul 24, 2015
- Last Updated
- Jul 24, 2015
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