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Organization
AW REYNOLDS JR - DURHAM PLLC
Active
Organization
AW REYNOLDS JR - DURHAM PLLC
Active
Parent organization
ARTHUR REYNOLDS JR AND ASSOCIATES P.L.L.C.
Other names
Trophy Smiles Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARTHUR REYNOLDS JR AND ASSOCIATES P.L.L.C.
Authorized official
DR. ARTHUR REYNOLDS JR. DDS (OWNER)
(919) 323-0521
Entity
Organization
Contact information
Practice address
601 FAYETTEVILLE ST STE 100, DURHAM, NC 27701-3997
(919) 973-0178
Mailing address
2106 N DUKE ST, DURHAM, NC 27704-4108
(919) 323-0521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
09241
NC
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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