| Jason Kenji Reyda, Dds, Professional Corporation | |
|
5200 Snyder Ln Ste 1 Rohnert Park CA 94928-2931 | |
| (707) 585-3160 | |
| Not Available |
| Full Name | Jason Kenji Reyda, Dds, Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5200 Snyder Ln Ste 1, Rohnert Park, California |
| Authorized Official Name and Position | Jason Kenji Reyda (PRESIDENT, SECRETARY) |
| Authorized Official Contact | 7075853160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Kenji Reyda, Dds, Professional Corporation 5200 Snyder Ln Ste 1 Rohnert Park CA 94928-2931 Ph: (707) 585-3160 | Jason Kenji Reyda, Dds, Professional Corporation 5200 Snyder Ln Ste 1 Rohnert Park CA 94928-2931 Ph: (707) 585-3160 |
| NPI Number | 1811481575 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811481575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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