Organization
KYLE TAYLOR DDS PLLC
Active
Other names
Distinctively Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W TAYLOR D.D.S. (MEMBER-MANAGER)
(704) 560-3582
Entity
Organization
Contact information
Practice address
4622 COUNTRY CLUB RD, STE. 280, WINSTON SALEM, NC 27104-3769
(704) 560-3582
Mailing address
4622 COUNTRY CLUB RD, SUITE 280, WINSTON SALEM, NC 27104-3769
(704) 560-3582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5190
NC
Other
Enumeration date
08/20/2015
Last updated
06/01/2016
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