| NPI | 1942039201 |
|---|---|
| Doing Business As | TOLLISON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BLAKE LEWIS TOLLISON Owner 864-329-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-05-12 |