Taylor Vixie

NPI #1154040244 in Susanville, California

Provider Information

NPI Number
1154040244
Entity Type
Individual
Name
Taylor Vixie
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Aug 23, 2022
Last Updated
Aug 23, 2022

Practice Location

Address
3020 JOHNSTONVILLE RD
ZIP Code
96130-8739
Phone
(530) 257-2395

Specialties & Taxonomy Codes

Specialty
Dentist

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