Individual
TAYLOR ZMOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2615 ELK DR STE 1, MINOT, ND 58701
(701) 839-4440
(701) 839-1911
Mailing address
2615 ELK DR STE 1, MINOT, ND 58701-1200
(701) 839-4440
(701) 839-1911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202978
CO
1223P0221X
Pediatric Dentistry
Primary
2313
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451163
—
ND
Enumeration date
11/12/2016
Last updated
07/21/2022
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