Organization
KYLE TAYLOR, DDS III, PLLC
Active
Other names
Relax Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W TAYLOR DDS (ORGANIZER MEMBER)
(704) 560-3582
Entity
Organization
Contact information
Practice address
3015 MAPLEWOOD AVE STE 100, WINSTON SALEM, NC 27103-4075
(704) 560-3582
Mailing address
16621 JETTON RD, CORNELIUS, NC 28031-7441
(704) 560-3582
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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