Individual
JOHN BENNETT TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
691 LANIER PARK DR, GAINESVILLE, GA 30501-2060
(770) 287-0044
(770) 287-8091
Mailing address
691 LANIER PARK DRIVE, GAINESVILLE, GA 30501
(770) 287-0044
(770) 287-8091
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010181
GA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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