Individual
DR. JOHN ALFRED TALTAVALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
255 MAIN ST, RIDGEFIELD PARK, NJ 07660
(201) 440-9190
Mailing address
255 MAIN ST, RIDGEFIELD PARK, NJ 07660
(201) 440-9190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI01834000
NJ
1223G0001X
General Practice Dentistry
Primary
DI18340
NJ
Other
Enumeration date
04/16/2007
Last updated
10/17/2022
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