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
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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