Daniel H De Tolla, D.d.s., M.d., PA
NPI #1962620229 in Portsmouth, New Hampshire
Provider Information
- NPI Number
- 1962620229
- Entity Type
- Organization
- Organization Name
- Daniel H De Tolla, D.d.s., M.d., PA
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Sep 8, 2009
Practice Location
- Address
- 200 GRIFFIN ROAD
- Address 2
- SUITE 8
- City
- Portsmouth
- State
- New Hampshire
- ZIP Code
- 03801
- Phone
- (603) 436-3608
Authorized Official
- Name
- DR. DANIEL HENRY DE TOLLA, D.D.S., M.D.
- Title
- ORAL SURGEON
- Phone
- (603) 436-3608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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