Individual
TAYLYN JAYE WILSON PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(901) 842-3161
Mailing address
2861 BROAD AVE, MEMPHIS, TN 38112-2903
(901) 842-3161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11951
TN
Other
Enumeration date
05/03/2022
Last updated
06/27/2023
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