Individual
DR. SHANE TRENT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3016 W CHARLESTON BLVD STE 145, LAS VEGAS, NV 89102-1964
(702) 380-1212
(888) 353-4948
Mailing address
1140 E FORT PIERCE DR N UNIT 8, SAINT GEORGE, UT 84790-8855
(435) 275-5000
(888) 353-4948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4965
NV
1223G0001X
General Practice Dentistry
973448669922
UT
Other
Enumeration date
06/15/2006
Last updated
04/12/2013
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