Provider Demographics
NPI:1558374181
Name:DOLESKI, THOMAS ALEXANDER (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALEXANDER
Last Name:DOLESKI
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 1:9340 CLAIREMONT MESA BLVD STE C
Mailing Address - Street 2:STE C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1224
Mailing Address - Country:US
Mailing Address - Phone:858-279-0350
Mailing Address - Fax:858-279-0447
Practice Address - Street 1:9340 C CLAIREMONT MESA BLVD
Practice Address - Street 2:STE C
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1224
Practice Address - Country:US
Practice Address - Phone:858-279-0350
Practice Address - Fax:858-279-0447
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30204122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist