DARYL K REAVIS

COOS BAY, OR
NPI1518342179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: AZ  D01503)
Enumeration Date2015-07-24
Last Update Date2015-07-24
Business Address
-- DARYL K REAVIS DMD
1245 FULTON AVE
COOS BAY, OR 97420-2895
Phone number: 541-888-6433
Mailing Address
-- DARYL K REAVIS DMD
1245 FULTON AVE
COOS BAY, OR 97420-2895
Phone number: 541-888-6433
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