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Individual

ROSS L TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7317 NE 141ST STREET, BOTHELL, WA 98011
(425) 823-8803
Mailing address
7317 NE 141ST STREET, BOTHELL, WA 98011
(425) 823-8803

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00003239
WA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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