NPI | 1295139590 |
---|---|
Doing Business As | TOLOSA CHILDRENS DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | SUZANNE RUSSELL Clinic Director 805-238-2216 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA d50253) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2019-07-02 |