Individual
DR. BRIAN C TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007389-C
AL
1223P0221X
Pediatric Dentistry
3223-02
MS
1223P0221X
Pediatric Dentistry
9728
CO
Other
Enumeration date
07/27/2006
Last updated
10/29/2024
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