Individual
TAYLOR BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7918 BERKSHIRE LN, CASTLE PINES, CO 80108-8853
(909) 438-3287
Mailing address
1725 ANDREWS CIR, SUISUN CITY, CA 94585-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64978
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00205353
CO
Other
Enumeration date
08/18/2015
Last updated
05/23/2023
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