Healthcare Provider Details

I. General information

NPI: 1982950275
Provider Name (Legal Business Name): LINDA TOTH DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13367 VENTURA BLVD
SHERMAN OAKS CA
91423-3912
US

IV. Provider business mailing address

13367 VENTURA BLVD
SHERMAN OAKS CA
91423-3912
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-5363
  • Fax:
Mailing address:
  • Phone: 818-788-5363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number41987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: