Individual
DR. JOSEPH SEIBEL REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3109 FISHERMAN BAY RD, LOPEZ ISLAND, WA 98261
(360) 468-2551
(360) 468-2551
Mailing address
PO BOX 69, LOPEZ ISLAND, WA 98261-0069
(360) 468-2551
(360) 468-2551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5037692
—
WA
Enumeration date
10/24/2006
Last updated
07/09/2007
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