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1679936447
MARK ANTHONY TALLIS
BATON ROUGE, LA
NPI
1679936447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4456)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
Dr. MARK ANTHONY TALLIS D.D.S.
5225 ODONOVAN DR SUITE 103
BATON ROUGE, LA 70808-7202
Phone number: 225-769-8555
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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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