Jonathan William Reitz, DDS Valid NPI

Individual provider · Endodontics · Evansville, IN

NPI

1780892687

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

12009489A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-21

Last updated

2007-07-08