Dr. Bruce R Reynolds, DDS
Dentist, General Practice in Hagatna, GUAM. Individual provider (NPI-1).
NPI number1851663181
StatusActive
Last updated in NPPESFeb 2, 2012
Details
- NPI
- 1851663181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce R Reynolds
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2012
- Last updated
- Feb 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D412 | GU | Yes |
Practice location
222 Chalan Santo Papa St. #304 Reflection CenterSuite 304
Hagatna, GUAM 96910
United States Minor Outlying Islands
Phone 671-472-6824 · Fax 671-472-1792
Mailing address
222 Chalan Santo Papa St. #304 Reflection CenterSuite 304
Hagatna, GUAM 96910
United States Minor Outlying Islands
Phone 671-472-6824 · Fax 671-472-1792
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