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Individual

BRYAN EDWARD TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8304 OLD MCGREGOR RD, SUITE A, WACO, TX 76712-3600
(254) 776-4818
(254) 776-7803
Mailing address
8304 OLD MCGREGOR RD, SUITE A, WACO, TX 76712-3600
(254) 776-4818
(254) 776-7803

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15672
TX

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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