Individual
DR. MARK A. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
660 KENILWORTH DR, SUITE 103, TOWSON, MD 21204-2313
(410) 821-8800
Mailing address
650 W BALTIMORE ST, UMB DENTAL SCHOOL, BALTIMORE, MD 21201-1510
(410) 706-7153
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9154
MD
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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