Individual
DR. ERIK J TALLBACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.,F.A.G.D.
Contact information
Practice address
309 SE OSCEOLA ST, SUITE # 102, STUART, FL 34994-2251
(772) 287-4530
(772) 287-9787
Mailing address
309 SE OSCEOLA ST, SUITE # 102, STUART, FL 34994-2251
(772) 287-4530
(772) 287-9787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14116
FL
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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