Organization
BRIAN A TOLMAN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM L KLOKKENGA (OFFICE ADMINISTRATOR)
(602) 938-2911
Entity
Organization
Contact information
Practice address
13619 N 59TH AVE, GLENDALE, AZ 85304-1203
(602) 938-2911
Mailing address
13619 N 59TH AVE, GLENDALE, AZ 85304-1203
(602) 938-2911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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