Individual
DR. RYAN C. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1577 DEWAR DR STE 112, ROCK SPRINGS, WY 82901-5716
(307) 382-2707
(307) 209-9706
Mailing address
250 MAKALAPA DR, PEARL HARBOR, HI 96860-3131
(808) 471-2463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
N-01682
ID
1223G0001X
General Practice Dentistry
10464104-9921
UT
1223G0001X
General Practice Dentistry
Primary
1152
WY
Other
Enumeration date
01/19/2006
Last updated
01/07/2021
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