Individual
DR. LAMONICA DAVIS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5442 WATKINS DRIVE, JACKSON, MS 39206
(601) 665-4996
(601) 398-0450
Mailing address
5442 WATKINS DR, JACKSON, MS 39206-2034
(601) 665-4996
(601) 398-0450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3605-11
MS
1223P0221X
Pediatric Dentistry
Primary
PEDO-483-14
MS
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/08/2011
Last updated
01/12/2016
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