# KENNETH A. TAYLOR D.D.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235527565
- **Authorized official:** DR. KENNETH ALAN TAYLOR D.D.S. (DENTIST & CORP. PRESIDENT)
- **Authorized official phone:** (360) 650-1458

## Contact information

- **Practice address:** 610 DUPONT ST, SUITE 132, BELLINGHAM, WA 98225-4054
- **Practice address phone:** (360) 650-1458
- **Practice address fax:** (360) 650-1469
- **Mailing address:** 610 DUPONT ST, SUITE 132, BELLINGHAM, WA 98225-4054
- **Mailing address phone:** (360) 650-1458
- **Mailing address fax:** (360) 650-1469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00008941 | WA | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 01/09/2015