Individual
DR. JAKE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
610 DR. CALVIN JONES HWY, SUITE 100, WAKE FOREST, NC 27587
(919) 336-5230
(919) 336-5231
Mailing address
610 DR. CALVIN JONES HWY, SUITE 100, WAKE FOREST, NC 27587
(919) 336-5230
(919) 336-5231
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9015
NC
Other
Enumeration date
11/09/2005
Last updated
01/02/2015
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