NPIRadar

Kevin Arthur Taylor, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Bridgeport, CT

NPI
1134247364
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
6875 (CT)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-03-26
Last updated
2007-07-08
Practice location
2595 Park Ave
Bridgeport, CT 06604-1359
(203) 366-2720

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