Individual
CARLTON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3085 W INA RD STE 101, TUCSON, AZ 85741
(520) 219-1900
(520) 696-0702
Mailing address
3085 W INA RD STE 101, TUCSON, AZ 85741-2382
(520) 219-1900
(520) 696-0702
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D9836
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2014
Last updated
07/24/2018
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