Individual
MILTON SAMUEL REYNOLDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17530 JORDAN ST, CHATOM, AL 36518
(251) 847-2049
Mailing address
17530 JORDAN ST, PO BOX 966, CHATOM, AL 36518
(251) 847-2049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3696
AL
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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