DR. Michael Aldon Tall, D.D.S.

NPI #1407961329 in Idaho Falls, Idaho

Provider Information

NPI Number
1407961329
Entity Type
Individual
Name
DR. Michael Aldon Tall, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3381 MERLIN DR
State
Idaho
ZIP Code
83404-7405
Phone
(208) 522-1332

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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