Individual
DR. DUSTIN SHANE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2904 OLD FOREST RD, LYNCHBURG, VA 24501-2320
(434) 664-7039
Mailing address
2904 OLD FOREST RD, LYNCHBURG, VA 24501-2320
(434) 439-4942
(434) 439-4936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413169
VA
122300000X
Dentist
3941
WV
Other
Enumeration date
06/27/2011
Last updated
05/31/2016
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