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Organization
TAYLOR BEACH CLUB
Active
Organization
TAYLOR BEACH CLUB
Active
Other names
The Mount Pleasant Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE MARTIN TAYLOR III D.D.S. (SOLE MEMBER)
(972) 519-0990
Entity
Organization
Contact information
Practice address
204 W 19TH ST, MT PLEASANT, TX 75455-2320
(903) 572-4141
(972) 596-9747
Mailing address
204 W 19TH ST, MT PLEASANT, TX 75455-2320
(903) 572-4141
(972) 596-9747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15101
TX
Other
Enumeration date
05/19/2014
Last updated
05/22/2014
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