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1093804858
JAMES BRAD TALLY
LEAWOOD, KS
NPI
1093804858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 6999)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. JAMES BRAD TALLY DDS
13650 ROE BLVD
LEAWOOD, KS 66224-3757
Phone number: 913-491-5040
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Mailing Address
Dr. JAMES BRAD TALLY DDS
13650 ROE BLVD
LEAWOOD, KS 66224-3757
Phone number: 913-491-5040
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