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Individual

DR. BRYAN RAY TAYLOR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
619 W MAIN ST, YUKON, OK 73099-1035
(405) 354-5604
(405) 354-1920
Mailing address
619 W MAIN ST, YUKON, OK 73099-1035
(405) 354-5604
(405) 354-1920

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5577
OK

Other

Enumeration date
08/11/2005
Last updated
07/08/2007
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