Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9874 | WA |
NPI | 1003985862 |
---|---|
Provider Name | Dr. David B Toillion |
First Address | Spokane, WA 99223-2029 |
Second Address | Spokane, WA 99218-1246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5038195 | (05) | WA |
5038211 | (05) | WA |