Taylor Dental Clinic Ltd

NPI #1942328752 in Chicago, Illinois

Provider Information

NPI Number: 1942328752
Entity Type: Organization
Organization Name: Taylor Dental Clinic Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1145 W TAYLOR STREET
Address 2: FIRST FLOOR
City: Chicago
State: Illinois
ZIP Code: 60607
Phone: (312) 226-1537

Authorized Official

Name: DR. ALAN VILLANUEVA, DMD
Title: PRESIDENT
Phone: (312) 226-1537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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