Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Marie Tallas

Individual provider Dental Assistant · NPI 1992315956

Kimberly Marie Tallas is a Dental Assistant in Pacoima, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

9745 Laurel Cyn
Pacoima, CA 91331
Phone: (213) 248-0532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 89660

Record details

NPI number1992315956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

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