Individual
MICHAEL JEROME TAFOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4115 N 91ST AVE, PHOENIX, AZ 85037-2393
(623) 278-7230
Mailing address
4115 N 91ST AVE, PHOENIX, AZ 85037-2393
(623) 278-7230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011811
AZ
Other
Enumeration date
04/28/2023
Last updated
05/19/2025
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