Individual
DR. LANCE KEITH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4501 N 7TH ST, PHOENIX, AZ 85014-3804
(602) 845-5730
Mailing address
165 N 159TH ST, GILBERT, AZ 85234-6234
(480) 450-9877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012489
AZ
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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