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Organization
TRACY N TAYLOR DMD., PC
Active
Organization
TRACY N TAYLOR DMD., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY N TAYLOR DMD (DENTIST)
(815) 692-4247
Entity
Organization
Contact information
Practice address
202 E LOCUST ST, FAIRBURY, IL 61739-1649
(815) 692-4247
Mailing address
202 E LOCUST ST, FAIRBURY, IL 61739-1649
(815) 692-4247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022786
IL
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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