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Organization
DANIEL H DE TOLLA, D.D.S., M.D., PA
Active
Organization
DANIEL H DE TOLLA, D.D.S., M.D., PA
Active
Parent organization
DANIEL H DE TOLLA, D.D.S., M.D., PA
Other names
Seacoast Dental Implant & Oral Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANIEL H DE TOLLA, D.D.S., M.D., PA
Authorized official
MICHAELA MUNIZ (VP, PAYOR RELATIONS)
(469) 324-3242
Entity
Organization
Contact information
Practice address
200 GRIFFIN ROAD SUITE 8, PORTSMOUTH, NH 03803-4580
(603) 436-3608
Mailing address
200 GRIFFIN ROAD SUITE 8, PORTSMOUTH, NH 03803-4580
(603) 436-3608
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
09/24/2026
Last updated
10/05/2026
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