Individual
MR. MARK EDWARD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 NORTH GEYER, KIRKWOOD, MO 63122
(314) 965-4064
(314) 965-1141
Mailing address
610 NORTH GEYER, KIRKWOOD, MO 63122
(314) 965-4064
(314) 965-1141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO015192
MO
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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