Individual
MS. GINA L TOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2669 N 92ND ST, MILWAUKEE, WI 53226-1800
(414) 258-2216
(414) 258-9466
Mailing address
2669 N 92ND ST, MILWAUKEE, WI 53226-1800
(414) 258-2216
(414) 258-9466
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10073-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10073-016
STATE LICENSE
WI
Enumeration date
03/26/2008
Last updated
03/26/2008
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