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Individual

DR. TAYLOR AUSTIN LADD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2032 N KING ST, HONOLULU, HI 96819-3458
(575) 312-6373
Mailing address
2032 N KING ST, HONOLULU, HI 96819-3458
(575) 312-6373

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD5464
NM
1223G0001X
General Practice Dentistry
DEN.00206089
CO
1223G0001X
General Practice Dentistry
Primary
DT-3163
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD5464
NM DENTAL LICENSE NUMBER
NM
01
DT-3163
HI DENTAL LICENSE NUMBER
HI
Enumeration date
06/30/2021
Last updated
03/15/2025
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