| NPI | 1588925200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A TAYLOR Endodontist 304-562-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: WV 3686) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2013-08-21 |