Individual
DR. ANDREW D REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3000 TWO NOTCH RD, COLUMBIA, SC 29204-2822
(803) 691-9930
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7031
SC
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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