Individual
DR. MARK EDWARD TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
640 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 853-3122
(704) 853-8466
Mailing address
640 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 853-3122
(704) 853-8466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899004V
—
NC
Enumeration date
06/03/2006
Last updated
07/08/2007
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