Tobias, Luz Depante

Tobias, Luz Depante is an individual health care provider with primary practice located at 303 E Baseline Rd Ste 201 , Phoenix AZ 85042-6575. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tobias, Luz Depante can be contacted via phone (602) 276-1995.

Contact Information

Primary practice address
303 E Baseline Rd Ste 201 Phoenix AZ 85042-6575
Phone: (602) 276-1995
Fax: (602) 276-1918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5366 Arizona

Profile Details

NPI number 1740253806
LBN Legal business name Tobias, Luz Depante
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Apr 11th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740253806 NPPES
Arizona MEDICAID 559809

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