DR. Jacob Daniel Reynolds

NPI #1710679386 in Slc, Utah

Provider Information

NPI Number: 1710679386
Entity Type: Individual
Name: DR. Jacob Daniel Reynolds
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: May 23, 2023
Last Updated: Sep 4, 2024

Practice Location

Address: 2090 E 2100 S
City: Slc
State: Utah
ZIP Code: 84109-1152
Phone: (801) 486-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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