Individual
MRS. PEYTON BLAIR TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1119 VANN DR, JACKSON, TN 38305-6098
(731) 660-8981
Mailing address
1119 VANN DR, JACKSON, TN 38305-6098
(731) 660-8981
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9463
TN
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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