Individual
DANIEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3681 SPIVEY ST, LORIS, SC 29569-2838
(843) 756-5747
Mailing address
1372 WYCLIFFE DR, MYRTLE BEACH, SC 29577-7211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9230
SC
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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