Individual
DR. MILTON BRADFORD REYNOLDS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1336 HIGHWAY 42 EAST, PETAL, MS 39465-9415
(601) 450-3371
(601) 450-3373
Mailing address
1336 HIGHWAY 42 EAST, PETAL, MS 39465-9415
(601) 450-3371
(601) 450-3373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2784-94
MS
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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