Individual
DR. KYLE WAYNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
477 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 355-0855
(812) 355-0858
Mailing address
477 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 355-0855
(812) 355-0858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010198
IN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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