| 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 |