Individual
BOBBY NEIL TAYLOR I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4208 MAPLE AVE, ODESSA, TX 79762-7152
(432) 367-4774
Mailing address
2900 E 17TH ST, ODESSA, TX 79761-1808
(432) 367-8030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10173
TX
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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