DR. Jonathan David Taylor, DMD
NPI #1417424367 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1417424367
- Entity Type
- Individual
- Name
- DR. Jonathan David Taylor, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Oct 30, 2018
- Last Updated
- Aug 24, 2021
Practice Location
- Address
- 22D MEDICAL GROUP
- Address 2
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3506
- Phone
- (316) 759-5181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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