Individual
TODD TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 3RD ST S, NAMPA, ID 83651-3840
(208) 505-8586
Mailing address
2715 S MIDLAND BLVD, NAMPA, ID 83686-8203
(208) 881-8743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5410
ID
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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