Individual
DR. KENDALL JAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 NINTH STREET, ALAMOGORDO, NM 88310
(505) 437-6699
(505) 434-3079
Mailing address
1300 NINTH STREET, ALAMOGORDO, NM 88310
(505) 437-6699
(505) 434-3079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
792268
UNITED CONCORDIA
—
01
—
8461
BCBS OF NM
NM
Enumeration date
10/24/2006
Last updated
07/08/2007
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