Lee A Reverendo, D.D.S.
NPI #1134242373 in Newark, New Jersey
Provider Information
- NPI Number
- 1134242373
- Entity Type
- Individual
- Name
- Lee A Reverendo, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 350 LAFAYETTE ST
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07105-2725
- Phone
- (973) 589-2904
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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