DR. Kenneth Bradley Reynolds, D.D.S
NPI #1003974080 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1003974080
- Entity Type
- Individual
- Name
- DR. Kenneth Bradley Reynolds, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1307 AIRLINE BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23707-4011
- Phone
- (757) 399-4662
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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