Individual
MARY KATHERINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1551 WESTBROOK PLAZA DR, SUITE 203, WINSTON SALEM, NC 27103-1355
(336) 765-0904
Mailing address
1551 WESTBROOK PLAZA DR, SUITE 203, WINSTON SALEM, NC 27103-1355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10415
NC
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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