Individual
TAYLOR LAUREN LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 723-1700
Mailing address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 723-1700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012842
AZ
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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