| NPI | 1467750745 |
|---|---|
| Other Name | ROBERT REYNOLDS, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH REYNOLDS Owner 417-881-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 015036) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-23 |