Individual
DR. DANIEL H DE TOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
200 GRIFFIN RD, SUITE 8, PORTSMOUTH, NH 03801-7145
(603) 436-3608
(603) 436-3646
Mailing address
200 GRIFFIN RD, SUITE 8, PORTSMOUTH, NH 03801-7145
(603) 436-3608
(603) 436-3646
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
3472
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30303624
—
NH
Enumeration date
06/13/2006
Last updated
09/08/2009
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