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Individual

DR. DAVID ALEXANDER THALER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3500 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2405
(352) 378-2233
(352) 375-7507
Mailing address
3500 W UNIVERSITY AVE, GAINESVILLE, FL 32607-2405
(352) 378-2233
(352) 375-7507

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11381
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66456
BCBS OF FL PROVIDER #
FL
Enumeration date
03/15/2007
Last updated
07/08/2007
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