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1790875847
FRED DEE REA
LONGVIEW, TX
NPI
1790875847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: TX 12317)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
FRED DEE REA D.D.S.
806 MEDICAL CIRCLE DRIVE SUITE 300
LONGVIEW, TX 75605-5110
Phone number: 903-236-7023
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Mailing Address
FRED DEE REA D.D.S.
806 MEDICAL CIRCLE DRIVE SUITE 300
LONGVIEW, TX 75605-5110
Phone number: 903-236-7023
Copy
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