James Brad Tally DDS

NPI 1093804858 - Dentist - 1223G0001X

NPI Details
NPI 1093804858
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
13650 ROE BLVD
LEAWOOD KS, 66224-3757, US
Phone (913) 491-5040
Fax
Business Location
13650 ROE BLVD
LEAWOOD KS, 66224-3757, US
Phone (913) 491-5040
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 6999
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According to our database, Dr. James Brad Tally DDS NPI is 1093804858, taxonomy code is 1223G0001X and license number is 6999, license state is located at Kansas. James Brad Tally DDS physically located at 13650 Roe Blvd, Leawood KS, 66224-3757. NPI Number James Brad Tally DDS has the Individual type.

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1093804858 NPI number is provided on an as is basis without warranty of any kind. 1093804858 is maintained by the National Plan & Provider Enumeration System. The contents of James Brad Tally DDS are for informational purposes only.