| Michael L. Reznik, D.d.s., M.s., Inc | |
|
2469 E 11th St Odessa TX 79761-4232 | |
| (432) 333-7105 | |
| (432) 333-9490 |
| Full Name | Michael L. Reznik, D.d.s., M.s., Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2469 E 11th St, Odessa, Texas |
| Authorized Official Name and Position | Michael Louis Reznik (PRESIDENT) |
| Authorized Official Contact | 4323337105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Reznik, D.d.s., M.s., Inc 2469 E 11th St Odessa TX 79761-4232 Ph: (432) 333-7105 | Michael L. Reznik, D.d.s., M.s., Inc 2469 E 11th St Odessa TX 79761-4232 Ph: (432) 333-7105 |
| NPI Number | 1336365253 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336365253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11123 (Texas) | Primary |
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