Juliane Simone Reynolds, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Tyrone, GA

NPI

1790990091

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DN013488 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-11

Last updated

2022-07-21