Organization
TAYLOR DENTRISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH EDWARD TAYLOR JR. DMD (OWNER)
(803) 781-3232
Entity
Organization
Contact information
Practice address
1032C KINLEY RD, IRMO, SC 29063-9632
(803) 781-3232
Mailing address
1032C KINLEY RD, IRMO, SC 29063-9632
(803) 781-3232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3355
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z33553
—
SC
Enumeration date
01/11/2007
Last updated
08/22/2020
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