Individual
DR. MATTHEW THOMAS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4846
Mailing address
288 CORRY VLG APT 14, GAINESVILLE, FL 32603-2141
(904) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN26839
FL
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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