Organization
ROY M TAYLOR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE MARCELLUS TAYLOR DDS (VICE PRESIDENT)
(215) 474-8415
Entity
Organization
Contact information
Practice address
5811 COBB CREEK PARKWAY, PHILADELPHIA, PA 19143-3035
(215) 474-8415
Mailing address
5811 COBB CREEK PARKWAY, PHILADELPHIA, PA 19143-3035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PA023171L
PA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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