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Organization

NAK TINY TEETH, PA

Active
Other names
TINY TEETH OF TALLY
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETH ADAMS RDH (EXECUTIVE MANAGER ACCOUNTS & CREDEN)
(850) 879-3605
Entity
Organization

Contact information

Practice address
1614 W PLAZA DR, TALLAHASSEE, FL 32308-5324
(850) 792-9100
(850) 378-5393
Mailing address
1614 W PLAZA DR, TALLAHASSEE, FL 32308-5324
(850) 792-9100
(850) 378-5393

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/05/2024
Last updated
12/05/2024
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