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Organization

TAYLOR ORTHODONTICS LLC

Active
Other names
Taylor Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
200 W WILSHIRE BLVD STE E, ROSWELL, NM 88201-0627
(575) 622-4369
Mailing address
200 W WILSHIRE BLVD STE E, ROSWELL, NM 88201-0627
(575) 622-4369

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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