Individual ProviderTaylor Louise DelauraDentistDental ProvidersPractice Address2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226-1506(414) 527-1161(414) 257-1161PECOS EnrollmentBased on the most recent information from CMS, provider Taylor Louise Delaura does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1588154934Provider TypeIndividualFull NameDelaura, Taylor LouiseCredentialDMD, MDGenderFemaleSole ProprietorNoEnumeration Date5/11/2018Last Updated8/10/2024Contact InformationPractice LocationPractice Address2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226-1506Phone(414) 527-1161Fax(414) 257-0194Mailing LocationMailing Address2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226-1506Phone(414) 257-1161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223S0112XPrimaryDescriptionDentistDental ProvidersLicense0000250349Wisconsin