Individual
TAYLOR MICHAEL PEDEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3025 W 38TH AVE, DENVER, CO 80211-2001
(303) 458-7051
Mailing address
4858 BENTON ST, DENVER, CO 80212-2708
(978) 886-7560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61085244
WA
1223G0001X
General Practice Dentistry
Primary
DEN.00204922
CO
Other
Enumeration date
06/25/2020
Last updated
09/19/2023
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