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Mark Tallis, D.D.S
NPI 1679936447 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5225 Odonovan Dr
Suite 103
Baton Rouge, LA 70808 - Phone
- (225) 769-8555
- Fax
- (225) 766-8579
- Organisation at this address
- Infusion Partners, Llc
Infusion Partners, Llc
Rheumatology Associates, L.L.C.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana