Individual
DR. RUSSELL TODD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4210 N 32ND ST, PHOENIX, AZ 85018-4723
(602) 957-0075
(602) 381-8299
Mailing address
4210 N 32ND ST, PHOENIX, AZ 85018-4723
(602) 957-0075
(602) 381-8299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6121
AZ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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