Individual
DR. HEATHER LEE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
102 W PROGRESS DR, PRINCETON, IL 61356-8601
(815) 875-1138
Mailing address
628 CORNELL ST, OTTAWA, IL 61350-3824
(815) 245-4875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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