Individual
MS. STEPHANIE MARIE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2 E 22ND ST STE 201, LOMBARD, IL 60148-6105
(630) 627-4680
Mailing address
6933 EXNER RD, DARIEN, IL 60561-3693
(630) 632-1814
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020016257
IL
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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