Individual
MICHAEL LOWELL TOBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 STANDISH ST, MONROVIA, CA 91016-4707
(818) 454-6718
Mailing address
257 STANDISH ST, MONROVIA, CA 91016-4707
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
21066
CA
124Q00000X
Dental Hygienist
Primary
HAP627
CA
Other
Enumeration date
03/13/2018
Last updated
08/27/2019
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