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MR. KENNETH DIMAGMALIW REYES DDS NPI 1194912576


NPI Information

NPI: 1194912576
Provider Name: MR. KENNETH DIMAGMALIW REYES, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3980 SAN PABLO DAM RD
SUITE 202
EL SOBRANTE, CA
ZIP 94803
Phone: (510) 323-5002
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MR. Kenneth Dimagmaliw Reyes, DDS is a general practice dentist in El Sobrante, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Kenneth Dimagmaliw Reyes, DDS NPI is 1194912576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3980 SAN PABLO DAM RD
SUITE 202
EL SOBRANTE, CA
ZIP 94803-840
Phone: (510) 323-5002

The enumeration date for this NPI number is 9/28/2007 and was last updated on 2/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice48173CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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