Individual
DR. RUSSELL DEMETRIUS TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1515 N TOWN EAST BLVD STE 215, MESQUITE, TX 75150-4144
(972) 686-1955
Mailing address
610 UPTOWN BLVD STE 3100, CEDAR HILL, TX 75104-3535
(910) 551-8020
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
35703
TX
1223G0001X
General Practice Dentistry
81236609921
UT
Other
Enumeration date
05/03/2012
Last updated
02/15/2022
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