Marisa E Tolzin

NPI #1356838627 in Sycamore, Illinois

Provider Information

NPI Number: 1356838627
Entity Type: Individual
Name: Marisa E Tolzin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 22, 2018
Last Updated: Jun 18, 2018

Practice Location

Address: 645 PLAZA DR
City: Sycamore
State: Illinois
ZIP Code: 60178
Phone: (815) 895-2298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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