Organization
MARK M. REYNOLDS D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MORRISON REYNOLDS D.D.S. (OWNER)
(207) 622-9210
Entity
Organization
Contact information
Practice address
295 STATE ST, AUGUSTA, ME 04330-7036
(207) 622-9210
Mailing address
295 STATE ST, AUGUSTA, ME 04330-7036
(207) 622-9210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2651
ME
Other
Enumeration date
05/21/2007
Last updated
10/16/2009
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