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Marisa E Tolzin
General Practice Dentistry in Sycamore, Illinois
NPI 1356838627

Marisa E Tolzin is a General Practice Dentistry based in Sycamore, IL and is specialized in General Practice. Marisa E Tolzin practices in Sycamore, IL. The NPI Number for Marisa E Tolzin is 1356838627 and holds a License No. (Illinois).

The current practice location address for Marisa E Tolzin is 645 Plaza Dr, Sycamore, IL and can be reached out via phone at 815-895-2298.

Location: 645 Plaza Dr, Sycamore, IL, 60178-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356838627
Provider Name
Marisa E Tolzin
Credential
Provider Entity Type
Individual
Gender
Female
Address
645 Plaza Dr, Sycamore, IL, 60178-2719
Phone Number
815-895-2298
Fax Number
Provider Enumeration Date
04/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019.031722 01 IL ILLINOIS STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
645 Plaza Dr
City
Sycamore
State
Illinois
Zip
60178
Phone Number
815-895-2298
Fax Number
person
Provider Business Mailing Address Details
Address
645 Plaza Dr
City
Sycamore
State
Illinois
Zip
60178
Phone Number
815-895-2298
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.031722 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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