| 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 |