Organization
TAYLOR DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY E TAYLOR D.M.D. (PRESIDENT)
(509) 529-2000
Entity
Organization
Contact information
Practice address
860 S 2ND AVE STE A, WALLA WALLA, WA 99362-4072
(509) 529-2000
(509) 529-4590
Mailing address
860 S 2ND AVE STE A, WALLA WALLA, WA 99362-4072
(509) 529-2000
(509) 529-4590
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 00008680
WA
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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