Individual
DR. MARK REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(907) 545-3793
Mailing address
2434 N CENTRAL PARK AVE, CHICAGO, IL 60647-2327
(907) 545-3793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035691
IL
122300000X
Dentist
1567
AK
Other
Enumeration date
06/25/2014
Last updated
06/30/2025
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