Fred Dee Rea, D.D.S.

NPI #1790875847 in Longview, Texas

Provider Information

NPI Number
1790875847
Entity Type
Individual
Name
Fred Dee Rea, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.
Enumeration Date
Oct 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
806 MEDICAL CIRCLE DRIVE
Address 2
SUITE 300
State
Texas
ZIP Code
75605-5110
Phone
(903) 236-7023

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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