| NPI | 1497561468 |
|---|---|
| Doing Business As | TINY TEETH OF TALLY |
| Entity Type | Organization |
| Authorized Contact | BETH ADAMS Executive Manager Accounts & Creden 850-879-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |