NPI | 1225359292 |
---|---|
Professional Name | JARED TAYLOR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SD D1002) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 7986) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2021-03-10 |