Individual
KELLY RYAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1291 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 434-7645
Mailing address
1291 CARLSBAD VILLAGE DR, CARLSBAD, CA 92008-1950
(760) 434-7645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53941
CA
Other
Enumeration date
01/22/2008
Last updated
06/08/2011
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