Individual
TAYLOR MARIE PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1378 N MERIDIAN RD STE 150, KUNA, ID 83634-1687
(208) 606-4816
Mailing address
3080 THREE SPRINGS RD, SAN JOSE, CA 95140-9710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5761174
ID
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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