DR. Paul Davidson Reagan, DDS

NPI #1134129661 in Naval Air Station/ Jrb, Texas

Provider Information

NPI Number: 1134129661
Entity Type: Individual
Name: DR. Paul Davidson Reagan, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 27, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1711 DOOLITTLE AVE
City: Naval Air Station/ Jrb
State: Texas
ZIP Code: 76127-1133
Phone: (817) 782-5718

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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