Provider Demographics
NPI:1215674080
Name:TOSTADO, ALBERTO (DDS)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:TOSTADO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 TAMERIND DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4407
Mailing Address - Country:US
Mailing Address - Phone:973-906-9539
Mailing Address - Fax:
Practice Address - Street 1:2121 E OLTORF ST STE 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-4559
Practice Address - Country:US
Practice Address - Phone:512-666-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX383631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics