| Russell T Taylor Pllc | |
|
4210 N 32nd St Phoenix AZ 85018-4723 | |
| (602) 957-0075 | |
| Not Available |
| Full Name | Russell T Taylor Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4210 N 32nd St, Phoenix, Arizona |
| Authorized Official Name and Position | Russell Taylor (OWNER/DOCTOR) |
| Authorized Official Contact | 6029570075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell T Taylor Pllc 4210 N 32nd St Phoenix AZ 85018-4723 Ph: () - | Russell T Taylor Pllc 4210 N 32nd St Phoenix AZ 85018-4723 Ph: (602) 957-0075 |
| NPI Number | 1720474851 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 04/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720474851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6121 (Arizona) | Primary |
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