Individual
JONATHAN ROBERT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 GREEN ST NW STE 101, GAINESVILLE, GA 30501-3378
(770) 532-2336
(770) 532-3905
Mailing address
615 GREEN ST NW STE 101, GAINESVILLE, GA 30501-3378
(770) 532-2336
(770) 532-3905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015476
GA
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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