Provider Demographics
NPI:1306098694
Name:TUOHY, MARIA ISABELLE SANTOS (DDS)
Entity type:Individual
Prefix:MISS
First Name:MARIA ISABELLE
Middle Name:SANTOS
Last Name:TUOHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 NEWPARK PLAZA
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560
Mailing Address - Country:US
Mailing Address - Phone:510-791-8118
Mailing Address - Fax:510-797-8881
Practice Address - Street 1:5270 NEWPARK PLAZA
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560
Practice Address - Country:US
Practice Address - Phone:510-791-8118
Practice Address - Fax:510-797-8881
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice