Individual
TAYLOR RAE VRACAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
875 UNION AVE STE 301, MEMPHIS, TN 38103-3513
(901) 448-6213
Mailing address
1387 RIVER LOOK CIR APT 102, MEMPHIS, TN 38103-7919
(386) 457-0566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11308
TN
1223G0001X
General Practice Dentistry
23414
FL
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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