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Individual

DR. PATRICE A TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
30 LAKE DR, NORTH BRUNSWICK, NJ 08902
(732) 658-3014
Mailing address
30 LAKE DR, NORTH BRUNSWICK, NJ 08902-4830
(732) 658-3014

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI017489
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137316
NJ
Enumeration date
05/22/2007
Last updated
05/30/2018
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