| NPI | 1770367146 |
|---|---|
| Former Name | STEPHANIE DEE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN28577) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN28577) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2026-07-24 |