Individual
DR. AUSTIN TALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8517 PRESTON HWY, LOUISVILLE, KY 40219-5301
(502) 966-4367
Mailing address
8517 PRESTON HWY, LOUISVILLE, KY 40219-5301
(502) 966-4367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11229
KY
Other
Enumeration date
03/27/2023
Last updated
08/06/2024
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