Organization
THAD TAYLOR IV DDS
Active
Organization
THAD TAYLOR IV DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD TAYLOR IV DDS (OWNER)
(972) 647-8008
Entity
Organization
Contact information
Practice address
3261 S. CARRIER PKWY., GRAND PRAIRIE, TX 75052
(972) 647-8008
(972) 660-8509
Mailing address
3261 S. CARRIER PKWY., GRAND PRAIRIE, TX 75052
(972) 647-8008
(972) 660-8509
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
TX
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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