Organization
DANIEL H DE TOLLA, D.D.S., M.D., PA
Active
Organization
DANIEL H DE TOLLA, D.D.S., M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL HENRY DE TOLLA D.D.S., M.D. (ORAL SURGEON)
(603) 436-3608
Entity
Organization
Contact information
Practice address
200 GRIFFIN ROAD, SUITE 8, PORTSMOUTH, NH 03801
(603) 436-3608
(603) 436-3646
Mailing address
200 GRIFFIN ROAD, SUITE 8, PORTSMOUTH, NH 03801
(603) 436-3608
(603) 436-3646
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
3472
NH
Other
Enumeration date
04/23/2007
Last updated
09/08/2009
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