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Kevin Reuter, DDS

Dentist, General Practice in Santa Clara, CA. Individual provider (NPI-1).

NPI number1952826331
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1952826331
Entity type
Individual (NPI-1)
Name
Kevin Reuter
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 7, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice101769CAYes

Practice location

265 Crestview Dr Ste A
Santa Clara, CA 95050-6503

Phone 408-669-5400

Mailing address

1115 Queen Anne Dr
San Jose, CA 95129-4040

Phone 408-207-3141

Other practice locations

1017 Mission St
Santa Cruz, CA 95060-3524

Phone 831-426-3535

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