Organization
JOHN W. TAYLOR, DDS, PLLC
Active
Other names
Kids Grins Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM TAYLOR DDS (OWNER/PEDIATRIC DENTIST)
(480) 830-5466
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD., STE. 102, MESA, AZ 85206
(480) 830-5466
(480) 830-5577
Mailing address
4540 E BASELINE RD., STE. 102, MESA, AZ 85206
(480) 830-5466
(480) 830-5577
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8386
AZ
1223P0221X
Pediatric Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689851
—
AZ
Enumeration date
11/14/2007
Last updated
11/23/2015
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