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NPI Code Detail

MEDICARE: DR. CECILLE TAFALLA DMD

MEDICARE: DR. CECILLE TAFALLA 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
1122300000XDentist51307CA

General Provider Information

NPI Number : 1962455576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CECILLE TAFALLA DMD
Provider Business Mailing Address
First Line : 305 EAST CENTER AVE.
Second Line :
City : VISALIA
State : CA
Zip : 93291-6331
Country : US
Telephone Number : 559-737-4700
Fax Number : 559-737-4782
Provider Business Practice Location Address
First Line : 501 NORTH BRIDGE STREET
Second Line :
City : VISALIA
State : CA
Zip : 93291-5014
Country : US
Telephone Number : 559-734-1939
Fax Number : 559-734-4384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/13/2011

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Directions to “ DR. CECILLE TAFALLA DMD” Practice Location

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