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Organization
DR. BARRY TALLER
Active
Organization
DR. BARRY TALLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY TALLER (DENTIST)
(201) 218-4306
Entity
Organization
Contact information
Practice address
3601 WALDO AVE, RIVERDALE, NY 10463
(201) 218-4906
Mailing address
3601 WALDO AVE, RIVERDALE, NY 10463
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02638700
NJ
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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