Individual
TAYLOR NATHAN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3165 W 4700 S, TAYLORSVILLE, UT 84129-2526
(801) 966-9956
Mailing address
255 E 4600 S, MURRAY, UT 84107-3821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10846470-9922
UT
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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