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NPI Code Detail

MEDICARE: TVL DENTAL SPECIALISTS LLC

MEDICARE: TVL DENTAL SPECIALISTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1447037841
Entity Type Code : Organization
Provider Name (Legal Business Name) : TVL DENTAL SPECIALISTS LLC
Provider Business Mailing Address
First Line : 727 LONG ACRE LN
Second Line :
City : YARDLEY
State : PA
Zip : 19067-4456
Country : US
Telephone Number : 509-760-2347
Fax Number :
Provider Business Practice Location Address
First Line : 727 LONG ACRE LN
Second Line :
City : YARDLEY
State : PA
Zip : 19067-4456
Country : US
Telephone Number : 509-760-2347
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. TALIA V.W. LAFOND
Credential : DMD, MDS
Telephone Number : 509-760-2347
Provider Enumeration Date : 09/11/2023
Last Update Date : 09/11/2023

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Directions to “TVL DENTAL SPECIALISTS LLC ” Practice Location

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