Individual
DR. MATTHEW FRANK LALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1721 FLAGLER AVE, KEY WEST, FL 33040
(305) 294-6696
Mailing address
3110 GRAND AVE COURTLAND SATORI, PINELLAS PARK, FL 33782
(914) 552-2281
(914) 968-2474
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
058609
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13173
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50-058609
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN27595
FL
Other
Enumeration date
06/28/2012
Last updated
05/08/2023
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