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Organization
TALLY DENTAL, PA
Active
Organization
TALLY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMELIO R ABREU DMD (DENTIST)
(850) 727-5773
Entity
Organization
Contact information
Practice address
2418 MILLCREEK LN # 3, TALLAHASSEE, FL 32308-4368
(850) 727-5773
Mailing address
3425 BANNERMAN RD STE 105-138, TALLAHASSEE, FL 32312-7062
(850) 727-5773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105466300
—
FL
05
—
112219500
—
FL
Enumeration date
01/30/2020
Last updated
03/30/2022
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