Individual
TAYLOR HARLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
407 NC-16 BUS HWY, DENVER, NC 28037-2664
(704) 966-1919
Mailing address
904 LEXINGTON AVE, CHARLOTTE, NC 28203-4829
(239) 877-6912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.025693
OH
1223P0221X
Pediatric Dentistry
11913
NC
1223P0221X
Pediatric Dentistry
Primary
30.025693
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343743
—
OH
Enumeration date
02/11/2018
Last updated
01/12/2024
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