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Organization

DR D G TAYLOR PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA P TROTTER (RECEPTIONIST)
(803) 685-5555
Entity
Organization

Contact information

Practice address
634 E MAIN ST, RIDGE SPRING, SC 29129-9139
(803) 685-5555
(803) 685-5519
Mailing address
634 E MAIN ST, RIDGE SPRING, SC 29129-9139
(803) 685-5555
(803) 685-5519

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZ2602
SC
Enumeration date
09/22/2009
Last updated
09/22/2009
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