Individual
DR. BLAKE A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
234 N FIRST ST, DECATUR, IN 46733
(260) 724-7032
(260) 724-4380
Mailing address
234 N FIRST ST, DECATUR, IN 46733
(260) 724-7032
(260) 724-4380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010644
IN
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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