Provider Demographics
NPI:1033262241
Name:REITER, ELIZABETH A (D D S LTD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:REITER
Suffix:
Gender:F
Credentials:D D S LTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 VILLAGE CENTER CIR
Mailing Address - Street 2:STE 150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-0518
Mailing Address - Country:US
Mailing Address - Phone:702-562-2400
Mailing Address - Fax:702-447-4876
Practice Address - Street 1:1825 VILLAGE CENTER CIR
Practice Address - Street 2:STE 150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-0518
Practice Address - Country:US
Practice Address - Phone:702-562-2400
Practice Address - Fax:702-562-0011
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV40581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice