Brian A Reavley, DDS

NPI #1619265964 in Lamar, Missouri

Provider Information

NPI Number: 1619265964
Entity Type: Individual
Name: Brian A Reavley, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 20, 2011
Last Updated: Sep 7, 2021

Practice Location

Address: 804 GULF ST
City: Lamar
State: Missouri
ZIP Code: 64759-1239
Phone: (174) 682-3393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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