Individual
ANDREW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
800 CORPORATE DR STE 220, LADERA RANCH, CA 92694-1154
(949) 347-2525
Mailing address
800 CORPORATE DR STE 220, LADERA RANCH, CA 92694-1154
(949) 347-2525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61577
CA
Other
Enumeration date
11/28/2016
Last updated
05/14/2023
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