Individual
THOMAS T TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 BREEZEPORT WAY, SUITE 500, SUFFOLK, VA 23435-3753
(757) 686-3444
(757) 686-3412
Mailing address
1530 BREEZEPORT WAY, SUITE 500, SUFFOLK, VA 23435-3753
(757) 686-3444
(757) 686-3412
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401413529
VA
Other
Enumeration date
04/20/2012
Last updated
12/17/2012
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