Organization
REZNICEK DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D. REZNICEK DDS (DENTIST)
(573) 774-6101
Entity
Organization
Contact information
Practice address
1400 STATE ROUTE F, WAYNESVILLE, MO 65583-2831
(573) 774-6101
(573) 774-6812
Mailing address
1400 STATE ROUTE F, WAYNESVILLE, MO 65583-2831
(573) 774-6101
(573) 774-6812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014865
MO
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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