DR. James Brad Tally, DDS

NPI #1093804858 in Leawood, Kansas

Provider Information

NPI Number
1093804858
Entity Type
Individual
Name
DR. James Brad Tally, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
13650 ROE BLVD
State
Kansas
ZIP Code
66224-3757
Phone
(913) 491-5040

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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