Individual
DR. TAYLOR REYNOLDS WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3223 AUDUBON DR, LAUREL, MS 39440-1422
(601) 651-6790
Mailing address
3223 AUDUBON DR, LAUREL, MS 39440-1422
(601) 651-6790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4229-21
MS
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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