Individual
TAYLOR HUGHES SEARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7989
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564522
AHCCCS
AZ
Enumeration date
01/27/2009
Last updated
01/13/2011
Update your record
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