Provider Demographics
NPI:1174661961
Name:REITZ AND RIZER DENTAL CORP
Entity type:Organization
Organization Name:REITZ AND RIZER DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:REITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-983-6010
Mailing Address - Street 1:750 W GONZALES RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0700
Mailing Address - Country:US
Mailing Address - Phone:805-983-6010
Mailing Address - Fax:805-983-7352
Practice Address - Street 1:750 W GONZALES RD STE 200
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0700
Practice Address - Country:US
Practice Address - Phone:805-983-6010
Practice Address - Fax:805-983-7352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty