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Individual

DR. CHARLES ALAN TAYLOR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
1395 CENTER DR # D1-19, GAINESVILLE, FL 32610-3006
(352) 273-7846
Mailing address
4735 SW 91ST DR UNIT 206, GAINESVILLE, FL 32608-8120

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DRP1685
FL

Other

Enumeration date
07/05/2017
Last updated
07/05/2017
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