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Individual

DR. RUSSELL T. REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
289 MAIN ST, SALEM, NH 03079-2731
(603) 898-9773
(603) 893-5461
Mailing address
289 MAIN ST, SALEM, NH 03079-2731
(603) 898-9773
(603) 893-5461

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
02093
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043372433
NH
Enumeration date
05/05/2010
Last updated
05/05/2010
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