Individual
MARYBETH BLAIR REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3723 S GRIFFITH AVE, OWENSBORO, KY 42301-6950
(270) 926-3722
Mailing address
425 MAPLE AVE, OWENSBORO, KY 42301-5085
(270) 570-4804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 22178
FL
1223G0001X
General Practice Dentistry
Primary
10681
KY
Other
Enumeration date
07/20/2016
Last updated
01/12/2024
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