Individual
ZACHARY TUTTLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
777 N 500 W STE 101A, PROVO, UT 84601-1594
(801) 373-6362
Mailing address
777 N 500 W STE 101A, PROVO, UT 84601-1594
(801) 373-6362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8344989-9922
UT
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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