Provider Demographics
NPI:1366880593
Name:TOLU, SELEN GUL (DDS)
Entity type:Individual
Prefix:DR
First Name:SELEN
Middle Name:GUL
Last Name:TOLU
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 1:22329 ROLLING HILL LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-2338
Mailing Address - Country:US
Mailing Address - Phone:240-461-6286
Mailing Address - Fax:
Practice Address - Street 1:7715 BELLE POINT DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-220-1790
Practice Address - Fax:301-220-1733
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist