Mark A. Reynolds, D.D.S., PH.D. Valid NPI

Individual provider · Periodontics · Towson, MD

NPI

1295979938

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

9154 (MD)

Sex

Male

Sole proprietor

No

Enumerated

2009-04-24

Last updated

2009-04-24