Individual
MRS. JENNIFER LEA TAYLOR-VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1205 W MCDERMOTT DR, ALLEN, TX 75013-6305
(214) 778-1900
Mailing address
611 CLAY LN, SHERMAN, TX 75092-5427
(903) 868-4390
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11020
TX
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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