Individual
DR. CHARLOTTE RUSSELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
86 TIMBER CREEK DR, SUITE 3, CORDOVA, TN 38018-4284
(901) 756-0002
(901) 756-0002
Mailing address
86 TIMBER CREEK DR, SUITE 3, CORDOVA, TN 38018-4284
(901) 756-0002
(901) 756-0002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3950
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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