Individual
DURGA TALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 943-0213
(215) 943-0998
Mailing address
63 LAKESIDE DR, LEVITTOWN, PA 19054-3901
(215) 943-0213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9534
CO
1223G0001X
General Practice Dentistry
Primary
DS037590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558309
—
NY
Enumeration date
03/09/2007
Last updated
07/10/2025
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