Healthcare Provider Details

I. General information

NPI: 1134066236
Provider Name (Legal Business Name): DANIEL O TOLHURST DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42112 WASHINGTON ST # 1F
BERMUDA DUNES CA
92203-8163
US

IV. Provider business mailing address

42112 WASHINGTON ST STE 1F
BERMUDA DUNES CA
92203-8163
US

V. Phone/Fax

Practice location:
  • Phone: 760-360-9274
  • Fax: 760-345-4902
Mailing address:
  • Phone: 760-360-9274
  • Fax: 760-345-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL OWEN TOLHURST
Title or Position: DENTIST/OWNER
Credential:
Phone: 760-360-9274