Taylor J. Stephens, D.d.s, P.a.

NPI #1962742650 in Wayzata, Minnesota

Provider Information

NPI Number: 1962742650
Entity Type: Organization
Organization Name: Taylor J. Stephens, D.d.s, P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 18, 2013
Last Updated: Jan 14, 2014

Practice Location

Address: 250 CENTRAL AVE N
Address 2: SUITE 113
City: Wayzata
State: Minnesota
ZIP Code: 55391-1206
Phone: (952) 475-3135

Authorized Official

Name: TAYLOR J STEPHENS, D.D.S
Title: PRESIDENT/OWNER
Phone: (952) 475-3135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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