| NPI | 1083833693 |
|---|---|
| Former Name | AMY N TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8862) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2017-04-06 |