Individual
DR. PETER L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
303 MAIN AVE, BIGFORK, MN 56628-0255
(218) 743-3600
(218) 743-1602
Mailing address
PO BOX 255, BIGFORK, MN 56628-0255
(218) 743-3600
(218) 743-1602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8959
MN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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