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TAYLOR FAMILY DENTISTRY

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Company Details

Name: TAYLOR FAMILY DENTISTRY
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 27 Oct 2003 (22 years ago)
Entity Number: 220690
Place of Formation: IDAHO
File Number: 0000220690
ZIP code: 83704
County: Ada County
Mailing Address: 3271 N MILWAUKEE STE 3 BOISE, ID 83704

National Provider Identifier

NPI Number:
1700048204

Authorized Person:

Name:
BRANDON TAYLOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
2086580893

Filing

Filing Name Filing Number Filing date
Initial Filing 0000220690 2003-10-27

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State