Individual
DR. TOD CORWIN TAYSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15920 S RANCHO SAHUARITA BLVD STE 100, SAHUARITA, AZ 85629-8013
(520) 838-0600
Mailing address
7813 S WALNUTVIEW DR, TUCSON, AZ 85757-0138
(480) 254-8689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011818
AZ
Other
Enumeration date
06/08/2023
Last updated
01/04/2025
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