Individual
DR. GLENN N TAYLOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
2121 NW 40TH TER, SUITE C, GAINESVILLE, FL 32605-5813
(352) 378-2525
(352) 377-9772
Mailing address
2121 NW 40TH TER, SUITE C, GAINESVILLE, FL 32605-5813
(352) 378-2525
(352) 377-9772
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13187
FL
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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