Individual
TAYLOR SAMSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
167 MAIN STREET, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
661 EAST DR., TUBA CITY, AZ 86045
(907) 727-8295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011487
AZ
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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