Individual
GEORGE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
4201 ST ANTOINE UHC DENTAL DEPT, DETROIT, MI 48201
(313) 745-1977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012315
MI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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