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Organization
REYNOLDS FAMILY DENTISTRY II, LLC
Active
Organization
REYNOLDS FAMILY DENTISTRY II, LLC
Active
Other names
Reynolds Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SCHAFER REYNOLDS D.M.D. (OWNER/DENTIST)
(812) 246-3368
Entity
Organization
Contact information
Practice address
809 S INDIANA AVE, SELLERSBURG, IN 47172-1613
(812) 246-3368
(812) 246-0589
Mailing address
809 S INDIANA AVE, SELLERSBURG, IN 47172-1613
(812) 246-3368
(812) 246-0589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011204
IN
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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