Organization
KEITH A. TAYLOR, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE L. GRUVER (DENTAL CONSULTANT)
(919) 900-0252
Entity
Organization
Contact information
Practice address
110 BANKS DR, CHAPEL HILL, NC 27514-1514
(919) 942-5652
Mailing address
110 BANKS DR, CHAPEL HILL, NC 27514-1514
(919) 942-5652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5371
NC
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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