Individual
TODD DAVID SOUTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11381 N SCIOTO AVE, ORO VALLEY, AZ 85737-7212
(520) 404-8393
Mailing address
11381 N SCIOTO AVE, ORO VALLEY, AZ 85737-7212
(520) 404-8393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7787
AZ
Other
Enumeration date
05/03/2007
Last updated
03/21/2016
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