Taylor Orthodontics Llc | |
200 W Wilshire Blvd Ste E Roswell NM 88201-0627 | |
(575) 622-4369 | |
Not Available |
Full Name | Taylor Orthodontics Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 200 W Wilshire Blvd Ste E, Roswell, New Mexico |
Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Taylor Orthodontics Llc 200 W Wilshire Blvd Ste E Roswell NM 88201-0627 Ph: (575) 622-4369 | Taylor Orthodontics Llc 200 W Wilshire Blvd Ste E Roswell NM 88201-0627 Ph: (575) 622-4369 |
NPI Number | 1114532181 |
---|---|
Provider Enumeration Date | 09/15/2020 |
Last Update Date | 09/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114532181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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