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General NPI Number Information
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NPI Number | 1851241004
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Entity Type | Organization
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Legal Business Name | MITCHELL TOSSBERG-WILSON DMD A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 10059 LAUREL CANYON BLVD STE A
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City | PACOIMA
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State | CA
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Zip | 91331-3858
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Country | US
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Telephone | 818-896-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 338 S MYERS ST
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City | BURBANK
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State | CA
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Zip | 91506-2616
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Country | US
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Telephone | 503-860-8293
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MITCHELL ALLEN TOSSBERG-WILSON
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Credential | DMD
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Telephone | 503-860-8293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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