Individual
DR. CASEY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-3726
(336) 955-1379
(336) 893-9987
Mailing address
2101 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-3726
(336) 955-1379
(336) 893-9987
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
11105
NC
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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