Provider Demographics
NPI:1447037841
Name:TVL DENTAL SPECIALISTS LLC
Entity type:Organization
Organization Name:TVL DENTAL SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:VW
Authorized Official - Last Name:LAFOND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MDS
Authorized Official - Phone:509-760-2347
Mailing Address - Street 1:727 LONG ACRE LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4456
Mailing Address - Country:US
Mailing Address - Phone:509-760-2347
Mailing Address - Fax:
Practice Address - Street 1:727 LONG ACRE LN
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-4456
Practice Address - Country:US
Practice Address - Phone:509-760-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental