Individual
DR. JUANITA R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4615 LAFAYETTE RD, SUITE B, INDIANAPOLIS, IN 46254-2035
(317) 968-9700
(317) 968-9701
Mailing address
4615 LAFAYETTE RD STE B, INDIANAPOLIS, IN 46254-2035
(317) 968-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011023A
IN
Other
Enumeration date
08/09/2007
Last updated
04/14/2015
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