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Organization
TINY TEETH OF TALLY PLLC
Active
Organization
TINY TEETH OF TALLY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASTRID GONZALEZ DDS (OWNER)
(850) 792-9100
Entity
Organization
Contact information
Practice address
1614 W PLAZA DR, TALLAHASSEE, FL 32308-5324
(850) 792-9100
Mailing address
1614 W PLAZA DRIVE, TALLAHASSEE, FL 32308
(850) 792-9100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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