Individual
TAYLOR MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1124 GALLERY PK BLVD, STE 101, WILMINGTON, NC 28412
(910) 218-1222
Mailing address
1124 GALLERY PK BLVD, STE 101, WILMINGTON, NC 28412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13233
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2023
Last updated
06/05/2023
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