Individual
MEAGAN STEPHANIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
915 SHERIDAN ST, PORT TOWNSEND, WA 98368-2931
(360) 385-2200
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
00005027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005027
DENTAL HYGIENE WASHINGTON STATE LICENSE
WA
Enumeration date
04/25/2019
Last updated
04/25/2019
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