Jack K. Reynolds DDS PA

NPI #1841455615 in Edgewood, Maryland

Provider Information

NPI Number
1841455615
Entity Type
Organization
Organization Name
Jack K. Reynolds DDS PA
Primary Specialty
Dentist
Enumeration Date
Jul 22, 2008
Last Updated
Jul 22, 2008

Practice Location

Address
2104 TRIMBLE RD
ZIP Code
21040-3126
Phone
(410) 676-5252

Authorized Official

Name
DR. SHARON ELAINE REYNOLDS LUNDGREN
Title
D.D.S
Phone
(410) 676-5252

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery
Dentist

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