Individual
DR. NIKOLAAS ENRIQUE REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 848-2331
Mailing address
8012 112TH STREET CT E STE 20, PUYALLUP, WA 98373-7856
(253) 848-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60889505
WA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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