Individual
MS. MARTINA MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
57 WEST 57TH ST, SUITE 806, NEW YORK, NY 10019
(212) 753-5471
(212) 754-6171
Mailing address
57 WEST 57TH ST, SUITE 806, NEW YORK, NY 10019
(212) 753-5471
(212) 754-6171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044466
NY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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