Individual
MR. VANNIE L TAYLOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10484 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1387
(301) 350-0222
Mailing address
10484 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1387
(202) 905-4616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13741
MD
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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