Individual
DR. KELLY A TALLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1013 ROUTE 47 S, RIO GRANDE, NJ 08242-1511
(609) 886-8885
(609) 886-1196
Mailing address
1013 ROUTE 47 S, RIO GRANDE, NJ 08242-1511
(609) 886-8885
(609) 886-1196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01709200
NJ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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