Mark M. Reynolds D.D.S.
Clinic/Center, Dental in Augusta, ME. Organization (NPI-2).
NPI number1447469366
StatusActive
Last updated in NPPESOct 16, 2009
Details
- NPI
- 1447469366
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark M. Reynolds D.D.S.
- Organization subpart
- No
- Enumeration date
- May 21, 2007
- Last updated
- Oct 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2651 | ME | Yes |
Practice location
295 State StAugusta, ME 04330-7036
Phone 207-622-9210
Mailing address
295 State StAugusta, ME 04330-7036
Phone 207-622-9210
Authorized official
Mark Morrison Reynolds
Owner
2076229210
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All 7 Dental Clinic/Center providers in Augusta · All 2,040 providers in Augusta
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