Al Tally, Sara

Al Tally, Sara is an individual health care provider with primary practice located at 4488 Yucaipa Blvd Ste A , Yucaipa CA 92399. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Al Tally, Sara can be contacted via phone (909) 801-8154.

Contact Information

Primary practice address
4488 Yucaipa Blvd Ste A Yucaipa CA 92399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 110222 California

Profile Details

NPI number 1316785561
LBN Legal business name Al Tally, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2024
Last updated Jul 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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