Individual
KAITLYN LORI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1091 MAIN ST, BUFFALO, NY 14209-2305
(716) 242-8200
Mailing address
955 MAIN ST STE 7230, BUFFALO, NY 14203-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063386
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
10/01/2023
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