NPI | 1033214283 |
---|---|
Doing Business As | TOLOSA CHILDRENS DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JON E. HOLLISTER President 805-543-6963 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-13 |
Last Update Date | 2014-02-27 |