MARK ANTHONY TALLIS

BATON ROUGE, LA
NPI1679936447
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  4456)
Enumeration Date2016-03-30
Last Update Date2016-03-30
Business Address
Dr. MARK ANTHONY TALLIS D.D.S.
5225 ODONOVAN DR SUITE 103
BATON ROUGE, LA 70808-7202
Phone number: 225-769-8555
Mailing Address
Dr. MARK ANTHONY TALLIS D.D.S.
5225 ODONOVAN DR SUITE 103
BATON ROUGE, LA 70808-7202
Phone number: 225-769-8555
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