Taylor Beach Club

NPI #1720499189 in Mt Pleasant, Texas

Provider Information

NPI Number: 1720499189
Entity Type: Organization
Organization Name: Taylor Beach Club
Primary Specialty: Dentist
Enumeration Date: May 19, 2014
Last Updated: May 22, 2014

Practice Location

Address: 204 W 19TH ST
City: Mt Pleasant
State: Texas
ZIP Code: 75455-2320
Phone: (903) 572-4141

Authorized Official

Name: DR. JESSE MARTIN TAYLOR III, D.D.S.
Title: SOLE MEMBER
Phone: (972) 519-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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