Provider Demographics
NPI:1255674305
Name:PAUL G. TALOSIG, DMD, PA
Entity Type:Organization
Organization Name:PAUL G. TALOSIG, DMD, PA
Other - Org Name:ALL STAR KIDS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TALOSIG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-593-3130
Mailing Address - Street 1:402 S WINFREE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-2942
Mailing Address - Country:US
Mailing Address - Phone:954-593-3130
Mailing Address - Fax:
Practice Address - Street 1:402 S WINFREE ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-2942
Practice Address - Country:US
Practice Address - Phone:954-593-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty