| Mitchell Tossberg-wilson Dmd A Professional Dental Corporation | |
|
10059 Laurel Canyon Blvd Ste A Pacoima CA 91331-3858 | |
| (818) 896-0043 | |
| Not Available |
| Full Name | Mitchell Tossberg-wilson Dmd A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10059 Laurel Canyon Blvd Ste A, Pacoima, California |
| Authorized Official Name and Position | Mitchell Allen Tossberg-wilson (OWNER) |
| Authorized Official Contact | 5038608293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Tossberg-wilson Dmd A Professional Dental Corporation 338 S Myers St Burbank CA 91506-2616 Ph: (503) 860-8293 | Mitchell Tossberg-wilson Dmd A Professional Dental Corporation 10059 Laurel Canyon Blvd Ste A Pacoima CA 91331-3858 Ph: (818) 896-0043 |
| NPI Number | 1851241004 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 01/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851241004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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