Individual
WILLIAM GRANT REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL BRANCH DENTAL CLINIC, 110 NNPTC CIRCLE, GOOSE CREEK, SC 29445
(843) 764-7944
Mailing address
1816 GUNCLUB RD, CHARLESTON, SC 29414-5914
(843) 763-2821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2292
SC
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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