MARK ASAEL TALL

IDAHO FALLS, ID
NPI1063515062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D2018)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
-- MARK ASAEL TALL DDS
2460 E 25TH ST
IDAHO FALLS, ID 83404
Phone number: 208-525-4780
Mailing Address
-- MARK ASAEL TALL DDS
5600 SOLITUDE LN
IDAHO FALLS, ID 83406
Phone number: 208-524-4242
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