Individual
DR. TAYLOR CLINTON MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5691 TINKER DIAGONAL, MIDWEST CITY, OK 73110-2821
(405) 737-5123
Mailing address
101 NE 53RD ST, APT 1919, OKLAHOMA CITY, OK 73105-1840
(580) 380-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6500
OK
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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