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Organization
TALL DENTAL, INC.
Active
Organization
TALL DENTAL, INC.
Active
Parent organization
TALL DENTAL, INC.
Other names
Cherry Valley Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALL DENTAL, INC.
Authorized official
DR. PRISCILLA TALL DDS (PRESIDENT/OWNER)
(909) 557-3050
Entity
Organization
Contact information
Practice address
38761 CHERRY VALLEY BLVD, CHERRY VALLEY, CA 92223-4239
(951) 769-5487
(951) 769-5488
Mailing address
14606 NE RIVER BEND DR, BATTLE GROUND, WA 98604-7500
(909) 557-3050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811133945
NPI TYPE 1
—
Enumeration date
03/06/2023
Last updated
03/06/2023
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