Individual
DR. JULIANE SIMONE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1134 SENOIA RD, TYRONE, GA 30290-1622
(770) 964-9992
(770) 964-9992
Mailing address
1134 SENOIA RD STE A2, TYRONE, GA 30290-1622
(770) 964-9992
(770) 964-9660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258308258A
—
GA
Enumeration date
05/11/2007
Last updated
07/21/2022
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