Organization
TAYLOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON TAYLOR DMD (OWNER)
(208) 658-0859
Entity
Organization
Contact information
Practice address
3271 N MILWAUKEE ST STE 3, BOISE, ID 83704-4427
(208) 658-0859
(208) 658-0893
Mailing address
3271 N MILWAUKEE ST STE 3, BOISE, ID 83704-4427
(208) 658-0859
(208) 658-0893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3609
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806330700
—
ID
Enumeration date
06/26/2008
Last updated
06/26/2008
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