Organization
MARTINSVILLE PEDIATRIC DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE WAYNE TAYLOR D.D.S. (OWNER/PEDIATRIC DENTIST)
(812) 322-3834
Entity
Organization
Contact information
Practice address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
(765) 342-3561
Mailing address
1690 S OHIO ST, MARTINSVILLE, IN 46151-3317
(765) 342-8435
(765) 342-3561
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010198
IN
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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