Individual
DR. TAYLOR JAMES WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
427 N 12TH ST, PLUMMER, ID 83851
(208) 686-1931
Mailing address
427 N 12TH ST, PLUMMER, ID 83851
(208) 686-1931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4461
ID
122300000X
Dentist
DE60300521
WA
Other
Enumeration date
01/10/2013
Last updated
11/25/2013
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