Organization
ZACHARY TAYLOR DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY TUTTLE TAYLOR DDS (OWNER)
(801) 792-4291
Entity
Organization
Contact information
Practice address
4266 N EAGLE RD, BOISE, ID 83713-0726
(208) 939-7053
Mailing address
4868 N ELENA MARIA PL, MERIDIAN, ID 83646-6758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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