Individual
LEVI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1126 KINGS CT, KAYSVILLE, UT 84037-9548
(801) 201-3037
Mailing address
1126 KINGS CT, KAYSVILLE, UT 84037-9548
(801) 201-3037
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
9899249-9924
UT
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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