Individual
DR. RUSSELL KAI REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
254 PALM AVE, ASHLAND, OR 97520-2232
(541) 482-9654
(541) 482-9655
Mailing address
254 PALM AVE, ASHLAND, OR 97520-2232
(541) 482-9654
(541) 482-9655
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8074
OR
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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