Individual provider · Type 1 NPI
Gino Antonio Reynoso, DDS
Periodontics · Upland, CA
NPI number
1013750397
Active
Practice location
440 North Mountain Ave., Ste. 309
Upland, CA 91786
Mailing address
21264 Pequeno Cir
Murrieta, CA 92562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DDS110125 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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- Thomas J. Kepic, DDS, MSDPeriodontics Upland, CA NPI 1386702314
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About NPI 1013750397
Gino Antonio Reynoso, DDS's National Provider Identifier is 1013750397, issued on Jun 14, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Upland, CA. The record was last updated on Jun 14, 2024.