Organization
JEFFREY L TAYLOR DDS & ASSOCIATES 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANTONI DDS (PRESIDENT)
(301) 587-6696
Entity
Organization
Contact information
Practice address
8757 GEORGIA AVE, SUITE 530, SILVER SPRING, MD 20910-3737
(301) 587-6696
(301) 608-9648
Mailing address
8757 GEORGIA AVE, SUITE 530, SILVER SPRING, MD 20910-3737
(301) 587-6696
(301) 608-9648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6702
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045072700
—
DC
Enumeration date
03/10/2017
Last updated
03/10/2017
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