Individual
DR. JAMES J REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2050A 2ND ST SE, ALBUQUERQUE, NM 87117-3263
(505) 846-3027
Mailing address
2050A 2ND ST SE, ALBUQUERQUE, NM 87117-5522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6702
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02067023
—
CO
Enumeration date
08/02/2005
Last updated
03/26/2021
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