Individual
LUKE ROBERT TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 B Y WILLIAMS SR DR, MIDFIELD, AL 35228-2218
(205) 923-3172
Mailing address
111 B Y WILLIAMS SR DR, MIDFIELD, AL 35228-2218
(205) 923-3172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
007369-C1
AL
Other
Enumeration date
04/07/2020
Last updated
07/23/2024
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