Individual
DR. KEITH E. REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
830 PLEASANT HILL RD NW, LILBURN, GA 30047-2742
(770) 564-1371
Mailing address
830 PLEASANT HILL RD NW, LILBURN, GA 30047-2742
(770) 564-1371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9657
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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