Individual
TRACEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
118 S NEW YORK AVE, WELLSTON, OH 45692-1540
(740) 384-5119
Mailing address
118 S NEW YORK AVE, WELLSTON, OH 45692-1540
(740) 384-5119
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31.008329
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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