William A Reagin, DDS Valid NPI

Individual provider · Dentist · Chamblee, GA

NPI

1427263961

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

6902 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-10

Last updated

2007-07-08