NPI 1174678320

Tad Christian Tholstrom, DDS

Practitioner Dentist Apo, AA

Practice location

Address: 48 Mdg Unit 5115, Apo, AA 09461-5115
Phone: 441480824585
Mailing address: 48 Mdg/Sghc Unit 5115, Apo, AE 09461

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 9214 (CO)

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Registry record

NPI: 1174678320
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 16 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.