Individual
JONATHAN CHASE TOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40470 GERMANY RD, GONZALES, LA 70737-6735
(225) 622-2022
Mailing address
1144 FOCIS ST, METAIRIE, LA 70005-2220
(318) 780-2824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7225
LA
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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