# REBECCA TAYLOR DDS PLLC

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

## Provider details

- **NPI number:** 1548640071
- **Authorized official:** DR. REBECCA TAYLOR (OWNER/DENTIST)
- **Authorized official phone:** (425) 776-3352

## Contact information

- **Practice address:** 8405 196TH ST SW, EDMONDS, WA 98026-6313
- **Practice address phone:** (425) 776-3352
- **Practice address fax:** (425) 361-1485
- **Mailing address:** 8405 196TH ST SW, EDMONDS, WA 98026-6313
- **Mailing address phone:** (425) 776-3352
- **Mailing address fax:** (425) 361-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60402643 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 07/02/2015