Individual
DR. GARY VINCENT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 AVERITT RD, GREENWOOD, IN 46143
(317) 888-3020
(317) 885-2523
Mailing address
PO BOX 524, GREENWOOD, IN 46143
(317) 888-3020
(317) 885-2523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007182A
IN
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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