Individual
JAY KIRKLAND TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2910 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 235-1113
(701) 280-2614
Mailing address
2910 UNIVERSITY DR S, FARGO, ND 58103-6032
(701) 235-1113
(701) 280-2614
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1861
ND
Other
Enumeration date
05/30/2007
Last updated
04/09/2024
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