Individual
DR. TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDD
Contact information
Practice address
1620 TIMBERWOOD BLVD STE 201, CHARLOTTESVILLE, VA 22911-7573
(434) 975-7336
Mailing address
1620 TIMBERWOOD BLVD STE 201, CHARLOTTESVILLE, VA 22911-7573
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401416424
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2017
Last updated
03/25/2020
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