Individual
GRAYSON MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1607 MAIN ST, VAN BUREN, AR 72956-4735
(479) 474-7076
Mailing address
1607 MAIN ST, VAN BUREN, AR 72956-4735
(479) 474-7076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4621
AR
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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