Individual
DR. SAMUEL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2410 SAMPSON ST BLDG 237, GREAT LAKES, IL 60088-2942
(847) 688-3331
Mailing address
1163 JOHNSON DR, APT 2916, BUFFALO GROVE, IL 60089-6568
(620) 338-6520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61025
KS
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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