Individual
DR. NICOLE MIKALA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6510 S WESTERN AVE, SUITE 101, OKLAHOMA CITY, OK 73139-1712
(405) 634-7303
Mailing address
6510 S WESTERN AVE, SUITE 101, OKLAHOMA CITY, OK 73139-1712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6143
OK
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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