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Organization
LEVI REYNOLDS DDS PLLC
Active
Organization
LEVI REYNOLDS DDS PLLC
Active
Other names
Puyallup Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI REYNOLDS DDS (OWNER)
(253) 592-3687
Entity
Organization
Contact information
Practice address
2921 5TH AVE NE STE 110, PUYALLUP, WA 98372-7044
(253) 841-3173
Mailing address
2921 5TH AVE NE STE 110, PUYALLUP, WA 98372-7044
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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