Individual
LEONID A TOLSTUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, DMD
Contact information
Practice address
99 W PORTAL AVE, SAN FRANCISCO, CA 94127-1303
(415) 661-6006
Mailing address
54 CRESTA VISTA DR, SAN FRANCISCO, CA 94127-1633
(415) 730-9140
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
40500
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2019
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