| Tiny Teeth Of Tally Pllc | |
|
1614 W Plaza Dr Tallahassee FL 32308-5324 | |
| (850) 792-9100 | |
| Not Available |
| Full Name | Tiny Teeth Of Tally Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1614 W Plaza Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Astrid Gonzalez (OWNER) |
| Authorized Official Contact | 8507929100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny Teeth Of Tally Pllc 1614 W Plaza Drive Tallahassee FL 32308 Ph: (850) 792-9100 | Tiny Teeth Of Tally Pllc 1614 W Plaza Dr Tallahassee FL 32308-5324 Ph: (850) 792-9100 |
| NPI Number | 1891225512 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891225512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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