Individual
REGINALD W TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8103
(214) 828-8382
Mailing address
PO BOX 660677, DALLAS, TX 75266-0677
(214) 828-8103
(214) 828-8382
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16493
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20314
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4851
LA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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