Individual
DR. KELLY A REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
515 NORTH BROADWAY, SUITE 4, RED LODGE, MT 59068-9255
(406) 446-2814
Mailing address
10 AVANTA WAY, SUITE 3, BILLINGS, MT 59102-6873
(406) 702-1303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2154
MT
1223G0001X
General Practice Dentistry
Primary
2154
MT
Other
Enumeration date
06/11/2008
Last updated
11/07/2017
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