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1225172364
THOMAS ALFRED TALLBACKA
ERIE, PA
NPI
1225172364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS019219L)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Dr. THOMAS ALFRED TALLBACKA DDS
2005 W 8TH ST SUITE 101
ERIE, PA 16505-4759
Phone number: 814-452-4418
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Mailing Address
Dr. THOMAS ALFRED TALLBACKA DDS
2005 W 8TH ST SUITE 101
ERIE, PA 16505-4759
Phone number: 814-452-4418
Copy
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