Organization
RANDALL J REYNOLDS DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE J O'DEA (OFFICE MGR)
(406) 232-2214
Entity
Organization
Contact information
Practice address
2200 BOX ELDER ST, SUITE 121, MILES CITY, MT 59301-2899
(406) 232-2214
Mailing address
2200 BOX ELDER ST, SUITE 121, MILES CITY, MT 59301-2899
(406) 232-2214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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