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Individual

DR. MICHELE RENE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
21515 STATE ROUTE 410 E, SUITE A, BONNEY LAKE, WA 98391-4100
(253) 826-9000
(253) 826-0328
Mailing address
21515 STATE ROUTE 410 E, SUITE A, BONNEY LAKE, WA 98391-4100
(253) 826-9000
(253) 826-0328

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010396
WA

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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