Provider Demographics
NPI:1952520884
Name:D. REEVES & R. IWASIUK, D.D.S., LTD
Entity Type:Organization
Organization Name:D. REEVES & R. IWASIUK, D.D.S., LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRAGA
Authorized Official - Suffix:
Authorized Official - Credentials:CDA
Authorized Official - Phone:775-825-5221
Mailing Address - Street 1:5420 KIETZKE LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511
Mailing Address - Country:US
Mailing Address - Phone:775-825-5221
Mailing Address - Fax:775-823-9824
Practice Address - Street 1:5420 KIETZKE LANE
Practice Address - Street 2:SUITE 100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511
Practice Address - Country:US
Practice Address - Phone:775-825-5221
Practice Address - Fax:775-823-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty