Individual
MS. TRACI-ANN SEANA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1135 N. LINCOLN AVE, SUITE 4, LOVELAND, CO 80537
(970) 622-0970
(970) 622-0971
Mailing address
P.O. BOX 225, MASONVILLE, CO 80541
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000201948
CO
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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