TODD SOUTHALL DDS PLLC
Dentist at Scioto Ave, Tucson, AZ

License number
Arizona D7787
Category
Dentist
Type
Dentist
Owner
Name: DR. TODD D SOUTHALL DDS
Title: DENTIST OWNER
Phone: (520) 404-8393
Address
Address
11381 N Scioto Ave, Tucson, AZ 85737
National Provider ID: 1164526570
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TODD SOUTHALL DDS PLLC at bizstanding.com

TODD SOUTHALL, DDS PLLC

11381 N Scioto Ave, Tucson, AZ 85737

Registration:
Feb 5, 2014
State ID:
P-1903079-8
Expiration:
Perpetual
Members:
Audra Diane Southall (Member), 11381 N Scioto Ave, Tucson, AZ 85737 (Physical),Todd David Southall (Member), 11381 N Scioto Ave, Tucson, AZ 85737 (Physical)
Agent:
Todd Southall,11381 N Scioto Ave, Tucson, AZ 85737 (Physical)

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