BRIAN REAVLEY, DDS
Dentist
Active
Individual
NPI: 1619265964
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 2011016310 (MO) |
Frequently Asked Questions
NPI 1619265964 is the National Provider Identifier for BRIAN REAVLEY, DDS, a Dentist provider located in Lamar, MO. This NPI was enumerated on July 20, 2011.
BRIAN REAVLEY, DDS practices at 804 GULF ST, Lamar, MO 64759.
Quick Facts
- NPI
- 1619265964
- Type
- Individual
- Enumerated
- Jul 20, 2011
- Last Updated
- Sep 7, 2021
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