Individual
DON TATALOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8385 N CORNERSTONE DR, HAYDEN, ID 83835-8684
(208) 772-5141
Mailing address
8546 N CLOVERLEAF DR, HAYDEN, ID 83835-8259
(715) 892-5927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5179
ID
Other
Enumeration date
07/21/2020
Last updated
08/21/2024
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