Individual
TALIA BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
172 MAPLE AVE, WALLINGTON, NJ 07057-1286
(973) 778-0918
Mailing address
35 ASCENSION ST APT 9, PASSAIC, NJ 07055-4639
(720) 496-5206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02901600
NJ
Other
Enumeration date
04/20/2021
Last updated
08/02/2023
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