Individual
KYLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3504 SECOR RD STE 330, TOLEDO, OH 43606-1545
(419) 534-3005
Mailing address
2603 OAK VALLEY DR APT 202, ANN ARBOR, MI 48103-7703
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022694
MI
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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