Individual provider · Type 1 NPI

Mark Anthony Tallis, DDS

General Practice Dentistry · Baton Rouge, LA

NPI number 1679936447 Active

About NPI 1679936447

Mark Anthony Tallis, DDS's National Provider Identifier is 1679936447, issued on Mar 30, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 30, 2016.