| NPI | 1659154193 |
|---|---|
| Doing Business As | REVERE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M REINECKER Owner 610-777-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |