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1780674879
ELMER LEONARD REAVES
HAMPTON, VA
NPI
1780674879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: VA 0401005262)
Enumeration Date
2005-10-28
Last Update Date
2007-07-08
Business Address
Dr. ELMER LEONARD REAVES D.D.S.
1320 LASALLE AVE
HAMPTON, VA 23669-3801
Phone number: 757-727-2585
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Mailing Address
Dr. ELMER LEONARD REAVES D.D.S.
1304 BRADDOCK AVE
VIRGINIA BEACH, VA 23455-4102
Phone number: 757-363-9568
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