Individual
DR. JAMES ROBERT TALLBACKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2701 NE 14TH STREET CSWY, SUITE 4, POMPANO BEACH, FL 33062-3535
(954) 946-9120
(954) 946-6446
Mailing address
2701 NE 14TH STREET, SUITE 4, POMPANO BEACH, FL 33062-3535
(954) 946-9120
(954) 946-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN4962
FL
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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