Individual
BENJAMIN JAMES TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4165 OLD MILTON PKWY FL 1402, ALPHARETTA, GA 30005
(770) 664-1244
Mailing address
4165 OLD MILTON PKWY FL 1402, ALPHARETTA, GA 30005-4468
(770) 664-1244
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014604
GA
1223G0001X
General Practice Dentistry
DN0146504
GA
Other
Enumeration date
07/16/2013
Last updated
06/04/2018
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