Individual
DR. HEATHER DANIELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1170 BELT LINE RD, COLLINSVILLE, IL 62234-4372
(618) 345-1400
(618) 344-1401
Mailing address
1170 BELT LINE RD, COLLINSVILLE, IL 62234-4372
(618) 345-1400
(618) 344-1401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030243
IL
Other
Enumeration date
07/29/2015
Last updated
09/23/2020
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