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Individual

DR. JOHN WILLIAM TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4540 E. BASELINE RD, SUITE 102, MESA, AZ 85206
(480) 830-5466
(480) 830-5577
Mailing address
4540 E. BASELINE RD., SUITE 102, MESA, AZ 85206
(480) 830-5466
(480) 830-5577

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3976-18
MS
1223P0221X
Pediatric Dentistry
8386
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
689851
AZ
Enumeration date
07/02/2010
Last updated
03/17/2018
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