NPI | 1235673468 |
---|---|
Doing Business As | REYNOLDS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN SCHAFER REYNOLDS Owner/Dentist 812-246-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IN 12011204) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |