Individual
DR. JONATHAN DAVID TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22D MEDICAL GROUP, 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-5181
Mailing address
22D MEDICAL GROUP, 57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-4492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0
OH
Other
Enumeration date
10/30/2018
Last updated
08/24/2021
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