| Tall Dental, Inc. | |
| 
					38761 Cherry Valley Blvd Cherry Valley CA 92223-4239  | |
| (951) 769-5487 | |
| (951) 769-5488 | 
| Full Name | Tall Dental, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 38761 Cherry Valley Blvd, Cherry Valley, California | 
| Authorized Official Name and Position | Priscilla Tall (PRESIDENT/OWNER) | 
| Authorized Official Contact | 9095573050 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tall Dental, Inc. 14606 Ne River Bend Dr Battle Ground WA 98604-7500 Ph: (909) 557-3050  | Tall Dental, Inc. 38761 Cherry Valley Blvd Cherry Valley CA 92223-4239 Ph: (951) 769-5487  | 
| NPI Number | 1255031589 | 
|---|---|
| Provider Enumeration Date | 03/06/2023 | 
| Last Update Date | 03/06/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255031589 | NPI | - | NPPES | 
| 1811133945 | Other | NPI TYPE 1 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |