Mark Asael Tall, DDS
NPI #1063515062 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1063515062
- Entity Type
- Individual
- Name
- Mark Asael Tall, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2460 E 25TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404
- Phone
- (208) 525-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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