Organization
TAYLOR WAGNER FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE TAYLOR DDS (OWNER)
(870) 972-6985
Entity
Organization
Contact information
Practice address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
Mailing address
2000 FIELDERS RD, JONESBORO, AR 72401-1937
(870) 972-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2732
AR
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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