Individual
HILARY A REYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 N 3RD ST, SUITE 516, BURLINGTON, IA 52601-5304
(319) 752-5540
Mailing address
320 N 3RD ST, SUITE 516, BURLINGTON, IA 52601-5304
(319) 752-5540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08186
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288191
—
IA
05
—
1005590
—
IL
01
—
33773
WELLMARK BCBS
IA
Enumeration date
12/22/2005
Last updated
07/09/2007
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