Individual
SADIE ANN TALLBACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6820 MATTHEWS MINT HILL RD STE 204, MINT HILL, NC 28227-9492
(704) 800-0255
Mailing address
2337 SW ARCHER RD APT 3030, GAINESVILLE, FL 32608-1018
(772) 485-9650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN30508
FL
Other
Enumeration date
05/20/2025
Last updated
06/20/2025
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