Individual
TAYLOR ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1039 GRANT ST SE STE B11, ATLANTA, GA 30315-2050
(704) 747-7888
Mailing address
19 ADMIRALTY CT, NEW ORLEANS, LA 70131-4700
(504) 756-4581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7153
LA
1223P0221X
Pediatric Dentistry
7153
LA
1223P0221X
Pediatric Dentistry
Primary
DN122969
GA
Other
Enumeration date
02/05/2021
Last updated
04/11/2024
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