Mark a Tallis DDS Apdc
Mark a Tallis DDS Apdc is a General Practice Dentistry in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
5225 O Donovan Dr Ste 103Baton Rouge, LA 70808-4353
Phone: (225) 769-8555
Fax: (225) 766-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 4456 (LA) |
|---|
Record details
| NPI number | 1205978889 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Tallis — President Of S Corp Dentist Owner · (225) 769-8555 |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | July 9, 2013 |
| Mailing address | 5225 O Donovan Drive, Suite 103, Baton Rouge, LA 70808-4353 |
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