Reese, Raven Valisha
Reese, Raven Valisha is an individual health care provider with primary practice located at 1699 Duluth Hwy , Lawrenceville GA 30043-5010. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Reese, Raven Valisha can be contacted via phone (770) 338-1963.Contact Information
Primary practice address
1699 Duluth Hwy
Lawrenceville GA 30043-5010
Phone: (770) 338-1963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN122869 | Georgia |
Profile Details
| NPI number | 1255054516 |
|---|---|
| LBN Legal business name | Reese, Raven Valisha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2022 |
| Last updated | Sep 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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