NPI 1033210513

Kristie Leah Reine, DDS

Practitioner General Practice Dentistry Slidell, LA

Practice location

Address: 720 Robert Blvd, Slidell, LA 70458-1638
Phone: (985) 643-1852
Fax: (985) 643-1845
Mailing address: 2081 Lakeshore Blvd, Slidell, LA 70461

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5503 (LA)

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Registry record

NPI: 1033210513
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.