Individual
DR. MARIE MCKENZIE-TOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4167
(718) 515-5419
Mailing address
710 CALHOUN AVE, BRONX, NY 10465-2403
(347) 293-8997
(718) 515-5419
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042045
NY
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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