Organization
TODD SOUTHALL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD D SOUTHALL DDS (DENTIST OWNER)
(520) 404-8393
Entity
Organization
Contact information
Practice address
11381 N SCIOTO AVE, ORO VALLEY, AZ 85737-7212
(520) 404-8393
Mailing address
11381 N SCIOTO AVE, ORO VALLEY, AZ 85737-7212
(520) 404-8393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7787
AZ
Other
Enumeration date
09/08/2006
Last updated
03/21/2016
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