Individual
DR. CHARLES GARRETT TAYLOR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3721 S OLIVE ST, PINE BLUFF, AR 71603-6756
(870) 536-6917
(870) 536-4404
Mailing address
3721 S OLIVE ST, PINE BLUFF, AR 71603-6756
(870) 536-6917
(870) 536-4404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3608
AR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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