# TAYLOR DENTAL CLINIC

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

## Provider details

- **NPI number:** 1740574060
- **Authorized official:** DR. KELLY E TAYLOR D.M.D. (PRESIDENT)
- **Authorized official phone:** (509) 529-2000

## Contact information

- **Practice address:** 860 S 2ND AVE STE A, WALLA WALLA, WA 99362-4072
- **Practice address phone:** (509) 529-2000
- **Practice address fax:** (509) 529-4590
- **Mailing address:** 860 S 2ND AVE STE A, WALLA WALLA, WA 99362-4072
- **Mailing address phone:** (509) 529-2000
- **Mailing address fax:** (509) 529-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE 00008680 | WA | Yes |

## Other

- **Enumeration date:** 06/03/2011
- **Last updated:** 06/03/2011