Individual
DR. RUSSELL SCOTT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
534 A WYTHE CREEK ROAD, POQUOSON, VA 23662
(575) 868-9334
Mailing address
534 A WYTHE CREEK ROAD, POQUOSON, VA 23662
(575) 868-9334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411431
VA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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