THOMAS JEFFERSON REYNOLDS

TACOMA, WA
NPI1871567016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60192688)
Additional Taxonomies122300000X Dentist
(Licence: OH  30022014)
122300000X Dentist
(Licence: FL  DN00000)
Enumeration Date2006-02-15
Last Update Date2015-11-12
Business Address
-- THOMAS JEFFERSON REYNOLDS DMD
1202 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-3926
Phone number: 253-441-4743
Mailing Address
-- THOMAS JEFFERSON REYNOLDS DMD
1019 PACIFIC AVE STE 300 ATTN: CREDENTIALING
TACOMA, WA 98402-4488
Phone number: 253-597-4550