MEDICARE: DR. DAVID JOSEPH TOCA DDS MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	4233	LA

General Provider Information

NPI Number	:	1225155856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JOSEPH TOCA DDS MS

Provider Business Mailing Address
First Line	:	2301 WILLIAMS BLVD
Second Line	:	SUITE B
City	:	KENNER
State	:	LA
Zip	:	70062-5721
Country	:	US
Telephone Number	:	504-466-3353
Fax Number	:	504-466-3343

Provider Business Practice Location Address
First Line	:	2301 WILLIAMS BLVD
Second Line	:	SUITE B
City	:	KENNER
State	:	LA
Zip	:	70062-5721
Country	:	US
Telephone Number	:	504-466-3353
Fax Number	:	504-466-3343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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