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NPI Code Detail

MEDICARE: DR. PAUL G TALOSIG DMD

MEDICARE: DR. PAUL G TALOSIG DMD
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
1122300000XDentist18614FL

General Provider Information

NPI Number : 1770800104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL G TALOSIG DMD
Provider Business Mailing Address
First Line : 402 S WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2942
Country : US
Telephone Number : 936-258-2624
Fax Number : 187-763-1248
Provider Business Practice Location Address
First Line : 402 S WINFREE ST
Second Line :
City : DAYTON
State : TX
Zip : 77535-2942
Country : US
Telephone Number : 936-258-2624
Fax Number : 187-763-1248
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2010
Last Update Date : 09/18/2014

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