Individual
DOROTHY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
2480 BLACK ROCK TPK, FAIRFIELD, CT 06825-2406
(203) 372-2010
(203) 372-2011
Mailing address
2480 BLACK ROCK TPKE, FAIRFIELD, CT 06825-2406
(203) 372-2010
(203) 372-2011
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001411
CT
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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